CHARLES J MISHEK, M.A., L.P., L.A.D.C. SAINT PAUL, MN

Contact Information

CHARLES J MISHEK, M.A., L.P., L.A.D.C.

445 ETNA ST
SUITE 55
SAINT PAUL, MN 55106-5857

Phone: 651-254-9443
Fax: 651-254-9238
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Addiction (Substance Use Disorder)	103TA0400X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for CHARLES J MISHEK · (Male)

NPI Number	`1932325735`
Status	Active
Credentials	M.A., L.P., L.A.D.C.
Entity	Individual
Enumeration date	04/18/2007
Last updated	09/11/2025 - About 9 months ago
Sole proprietor ¹	No
Identifiers	MN License # 300312 MN License # LP 2598
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CHARLES J MISHEK, M.A., L.P., L.A.D.C. – NPI #1932325735Addiction (Substance Use Disorder)

Contact Information

Specialty

Addiction (Substance Use Disorder)

Addiction (Substance Use Disorder)

NPI Profile & details for CHARLES J MISHEK · (Male)

Reviews for CHARLES J MISHEK

CHARLES J MISHEK, M.A., L.P., L.A.D.C. – NPI #1932325735
Addiction (Substance Use Disorder)