| Mr Mario Lara, BA | |
|
3176 Lancer St, Portage, IN 46368-4408 | |
| (219) 763-8823 | |
| Not Available |
| Full Name | Mr Mario Lara |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3176 Lancer St, Portage, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306118468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mario Lara, BA 579 W 450 S, Hebron, IN 46341-8819 Ph: (219) 763-8823 | Mr Mario Lara, BA 3176 Lancer St, Portage, IN 46368-4408 Ph: (219) 763-8823 |
Ms. Kimberly Evette Hearon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5971 Winchester Pl, Portage, IN 46368 Phone: 219-201-0716 | |
Michael Imburgia, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Emily Waldo, MS, NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6337 Central Ave, Portage, IN 46368 Phone: 219-763-1499 | |
Karen C. Schimpf, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3176 Lancer St, Portage, IN 46368 Phone: 219-762-9557 | |
Mrs. Emily C Shelton, CADC, CRSS Counselor Medicare: Medicare Enrolled Practice Location: 5460 Meadow Ave, Portage, IN 46368 Phone: 708-897-3593 | |
Glendia Biggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3141 Willowcreek Rd, Portage, IN 46368 Phone: 219-793-3255 | |
L. Allen Grecula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-5380 |