Provider Demographics
NPI:1720976533
Name:LEAL, ABRAHAM JOSEPH (MS)
Entity type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:JOSEPH
Last Name:LEAL
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W CEVALLOS APT 1422
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1453
Mailing Address - Country:US
Mailing Address - Phone:213-500-2644
Mailing Address - Fax:
Practice Address - Street 1:333 W CEVALLOS APT 1422
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78204-1453
Practice Address - Country:US
Practice Address - Phone:213-500-2644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health