Mr. George Paul Thottakara
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1201 Jackson St Marinette County Health And Human Services
Niagara
, Wisconsin 54151
Mr. George Paul Thottakara
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1201 Jackson St Marinette County Health And Human Services
Niagara
, Wisconsin 54151
(715) 732-7711
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. George Paul Thottakara
- 2500 Hall Ave Suite A Marinette County Health And Human Services
- Marinette, WI
- Zip : 54143
- Fax : (715) 732-7711
- Phone : (715) 732-7760
Second Address
- Mr. George Paul Thottakara
- 1201 Jackson St Marinette County Health And Human Services
- Niagara, WI
- Zip : 54151
- Fax : (715) 251-1754
- Phone : (715) 251-4555
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2579125 | WI |
| N | 1041C0700X | Clinical Social Worker | 2579125 | WI |
National Provider Identifier
| NPI | 1013006329 |
|---|---|
| Provider Name | Mr. George Paul Thottakara |
| First Address | Marinette, WI 54143 |
| Second Address | Niagara, WI 54151 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2579125 | LICENSE NUMBER (01) | WI |
| 39187300 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.