Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mitchell Gene Deshazer

Individual provider Marriage & Family Therapist · NPI 1700303575

Mr. Mitchell Gene Deshazer is a Marriage & Family Therapist in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

624 W Independence St Ste 113-115
Shawnee, OK 74804-4306
Phone: (405) 585-6413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (OK)

Record details

NPI number1700303575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 23, 2017
Mailing address624 W Independence St Ste 113-115, Shawnee, OK 74804-4306

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