person
Mr. Mario Lara, BA
Mental Health Counselor in Portage, Indiana
NPI 1306118468

Mario Lara is a Mental Health Counselor based in Hebron, IN and is specialized in Mental Health. Mario Lara practices in Portage, IN and has the professional credentials of BA. The NPI Number for Mario Lara is 1306118468 and holds a License No. (Indiana).

The current practice location address for Mario Lara is 3176 Lancer St, Portage, IN and can be reached out via phone at 219-763-8823.

Location: 3176 Lancer St, Portage, IN, 46341-8819
person
Provider Profile Details
NPI Number
1306118468
Provider Name
Mario Lara
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
3176 Lancer St, Portage, IN, 46341-8819
Phone Number
219-763-8823
Fax Number
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3176 Lancer St
City
State
Zip
46368-4408
Phone Number
219-763-8823
Fax Number
person
Provider Business Mailing Address Details
Address
3176 Lancer St
City
State
Zip
46368-4408
Phone Number
219-763-8823
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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