# NICOLE LEANN MERLO-WHITE

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

## Provider details

- **NPI number:** 1053488577
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001029 | CT | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 03/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 286914 | MHN | — |
| 01 | — | 410001029CT01 | ANTHEM BLUE CROSS BLUE SH | CT |