Individual provider · Type 1 NPI

Dominique Churnetski-Hayes

Counselor · San Jose, CA

NPI number 1811639396 Active

Practice location

25 N 14th St
San Jose, CA 95112-6204

Call (510) 696-5810 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X10Y00000X (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1811639396

Dominique Churnetski-Hayes's National Provider Identifier is 1811639396, issued on Apr 13, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 13, 2022.