Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johanna Paula Custodio

Individual provider Professional Counselor · NPI 1265244248

Johanna Paula Custodio is a Professional Counselor in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

313 N Fenimore Ave
Azusa, CA 91702-3924
Phone: (714) 696-1295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 17989 (CA)

Record details

NPI number1265244248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2025
Last updated in NPPESMarch 9, 2025
Certification dateMarch 9, 2025

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