Provider Demographics
NPI:1336885359
Name:LEAL, NATIVIDAD CHRISTINA (M ED, CSC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:NATIVIDAD
Middle Name:CHRISTINA
Last Name:LEAL
Suffix:
Gender:F
Credentials:M ED, CSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5471 BARBWIRE LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4340
Mailing Address - Country:US
Mailing Address - Phone:956-455-5799
Mailing Address - Fax:
Practice Address - Street 1:5471 BARBWIRE LN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4340
Practice Address - Country:US
Practice Address - Phone:956-455-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional