Individual
MR. CHARLES JOSEPH MISHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P., L.A.D.C.
Contact information
Practice address
445 ETNA ST, SUITE 55, SAINT PAUL, MN 55106-5857
(651) 254-9443
(651) 254-9238
Mailing address
445 ETNA ST, SUITE 55, SAINT PAUL, MN 55106-5857
(651) 254-9443
(651) 254-9238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300312
MN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LP 2598
MN
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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