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Mario Lara, BA
NPI 1306118468 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3176 Lancer St
Portage, IN 46368 - Phone
- (219) 763-8823
- Organisation at this address
- Genoa Healthcare Llc
Porter-Starke Services Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2012-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana