Individual provider · Type 1 NPI

Agne Sofia Bolsakova, MA

Professional Counselor · Vista, CA

NPI number 1790494185 Active

Practice location

1826 Key Largo Rd
Vista, CA 92081-7004

Call (760) 420-8739 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X18741 (CA)

Professional Counselor: Definition to come...

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About NPI 1790494185

Agne Sofia Bolsakova, MA's National Provider Identifier is 1790494185, issued on Nov 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vista, CA. The record was last updated on Jul 17, 2026.