# MRS. COLLEEN MARIE WAXLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548230956
- **Gender:** F
- **Credential:** MA LPC MH LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 2022 | SD | — |
| 106H00000X | Marriage & Family Therapist | 1080 | SD | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6575172 | — | SD |