| George (trey) Tanner Nicholson Iii, | |
|
177 W Price Ave, South Salt Lake, UT 84115-4345 | |
| (385) 467-4548 | |
| Not Available |
| Full Name | George (trey) Tanner Nicholson Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 177 W Price Ave, South Salt Lake, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033080445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George (trey) Tanner Nicholson Iii, 177 W Price Ave, South Salt Lake, UT 84115-4345 Ph: (386) 468-4548 | George (trey) Tanner Nicholson Iii, 177 W Price Ave, South Salt Lake, UT 84115-4345 Ph: (385) 467-4548 |
Stephanie Sonntag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Amy Miner, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 W Little River Way Unit 3, South Salt Lake, UT 84119 Phone: 801-915-2898 | |
Caprice Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Diana Lynn Lehwalder, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-2118 | |
Tamara Middleton, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3195 S Main St Ste 180, South Salt Lake, UT 84115 Phone: 801-983-5540 Fax: 801-983-5542 | |
Chelsea Travis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3502 S 335 E, South Salt Lake, UT 84115 Phone: 801-699-4359 |