MEDICARE: MRS. VALERIE JUANA ISAACS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6149	OK

General Provider Information

NPI Number	:	1093128852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALERIE JUANA ISAACS LPC

Provider Business Mailing Address
First Line	:	8316 E 73RD ST STE 105
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-205-2995
Fax Number	:

Provider Business Practice Location Address
First Line	:	8316 E 73RD ST STE 105
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2914
Country	:	US
Telephone Number	:	918-205-2995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	06/11/2025

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