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NPI Code Detail

MEDICARE: MARIAH DANELL BORGNA

MEDICARE:   MARIAH DANELL BORGNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184572760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH DANELL BORGNA
Provider Business Mailing Address
First Line : 2901 N RAINBOW BLVD APT 2054
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4555
Country : US
Telephone Number : 661-855-9399
Fax Number :
Provider Business Practice Location Address
First Line : 2901 N RAINBOW BLVD APT 2054
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4555
Country : US
Telephone Number : 661-855-9399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ MARIAH DANELL BORGNA ” Practice Location

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