Individual
EVELYN ALEXANDRA BOSTANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
5950 FAIRVIEW RD STE 700, CHARLOTTE, NC 28210-0085
(980) 255-5335
Mailing address
5950 FAIRVIEW RD STE 700, CHARLOTTE, NC 28210-0085
(980) 255-5335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10606A
NC
106H00000X
Marriage & Family Therapist
10606A
NC
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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