Waxler, Colleen Marie

Waxler, Colleen Marie is an individual health care provider with primary practice located at 3601 Canyon Lake Dr Chrysalis, Rapid City SD 57702. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Waxler, Colleen Marie can be contacted via phone (605) 341-8647.

Contact Information

Primary practice address
3601 Canyon Lake Dr Chrysalis Rapid City SD 57702
Phone: (605) 341-8647
Fax: (605) 341-0489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2022 South Dakota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1080 South Dakota

Profile Details

NPI number 1548230956
LBN Legal business name Waxler, Colleen Marie
Credentials MA LPC MH LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548230956 NPPES
South Dakota MEDICAID 6575172

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