Individual
AGNE SOFIA BOLSAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2204 S EL CAMINO REAL STE 315, OCEANSIDE, CA 92054-6390
(760) 500-3325
Mailing address
3150 PIO PICO DR STE 105, CARLSBAD, CA 92008-1951
(760) 500-3325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11781
CA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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