George (trey) Tanner Nicholson III

NPI #1033080445 in South Salt Lake, Utah

Provider Information

NPI Number
1033080445
Entity Type
Individual
Name
George (trey) Tanner Nicholson III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 17, 2025
Last Updated
Oct 24, 2025

Practice Location

Address
177 W PRICE AVE
State
Utah
ZIP Code
84115-4345
Phone
(385) 467-4548

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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