Individual
GABRIELLE CORICE BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
8535 CLIFF CAMERON DR STE 100, CHARLOTTE, NC 28269-5909
(704) 717-7477
(704) 717-7457
Mailing address
5020 RIDGE RD UNIT 4108, CHARLOTTE, NC 28269-0256
(843) 260-2863
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10129A
NC
Other
Enumeration date
08/28/2025
Last updated
12/12/2025
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