Individual provider · Type 1 NPI
Johanna Paula Custodio
Professional Counselor · Azusa, CA
NPI number
1265244248
Active
Practice location
313 N Fenimore Ave
Azusa, CA 91702-3924
Mailing address
110 W 6th St
Azusa, CA 91702-6785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 17989 (CA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Azusa
About NPI 1265244248
Johanna Paula Custodio's National Provider Identifier is 1265244248, issued on Jan 24, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Azusa, CA. The record was last updated on Mar 9, 2025.