Individual
MS. CRYSTAL STAR MARIE ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 779-7144
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 779-7144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12236
OK
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/01/2026
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