Provider Demographics
NPI:1639830425
Name:BORIOSI, MARC (MS, CADC, NCAC I)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:BORIOSI
Suffix:
Gender:M
Credentials:MS, CADC, NCAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BRIARWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9166
Mailing Address - Country:US
Mailing Address - Phone:570-903-1515
Mailing Address - Fax:
Practice Address - Street 1:404 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1300
Practice Address - Country:US
Practice Address - Phone:570-904-7363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor