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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARIO LARA, BA

Active Sole Proprietor

MR. MARIO LARA, BA is a Mental Health Counselor healthcare provider located in PORTAGE, Indiana. NPI 1306118468 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORTAGE, IN

Registration Details

NPI Number
1306118468
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2012 (14.478605900825 yrs)
Last Updated
Feb 6, 2012
Sole Proprietor
Yes

Practice Information

Address
3176 LANCER ST
PORTAGE, IN, 463684408
Browse IN providers · Browse ZIP 46368
Phone
2197638823
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PORTAGE, IN

Name Credential NPI
KRISTINE KALLIMANI M.S. ED. 1598747347
MR. FRANCESCO G ADAMO LMHC 1831479773
KAREN C. SCHIMPF M.A. 1104109222
MICHAEL IMBURGIA BA 1023380276
SARA VELDHUIZEN MS, LMHC 1659819431
VALERIE MICHELE BLY 1689244949
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.