MR. Mario Lara, BA is a mental health counselor in Portage, IN. MR. Mario Lara, BA NPI is 1306118468. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3176 LANCER ST
PORTAGE, IN
ZIP 46368-408
Phone: (219) 763-8823
The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.