Individual
MR. GEORGE PAUL THOTTAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CADC III
Contact information
Practice address
1201 JACKSON ST, MARINETTE COUNTY HEALTH AND HUMAN SERVICES, NIAGARA, WI 54151
(715) 251-4555
(715) 251-1754
Mailing address
2500 HALL AVE, SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES, MARINETTE, WI 54143
(715) 732-7760
(715) 732-7711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2579125
WI
1041C0700X
Clinical Social Worker
Primary
2579125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2579125
LICENSE NUMBER
WI
05
—
39187300
—
WI
Enumeration date
10/12/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us