Individual provider · Type 1 NPI

George (trey) Tanner Nicholson Iii

Addiction (Substance Use Disorder) Counselor · South Salt Lake, UT

NPI number 1033080445 Active

Practice location

177 W Price Ave
South Salt Lake, UT 84115-4345

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033080445

George (trey) Tanner Nicholson Iii's National Provider Identifier is 1033080445, issued on Sep 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Salt Lake, UT. The record was last updated on Oct 24, 2025.