Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George (Trey) Tanner Nicholson III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033080445

George (Trey) Tanner Nicholson III is an Addiction (Substance Use Disorder) Counselor in South Salt Lake, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

177 W Price Ave
South Salt Lake, UT 84115-4345
Phone: (385) 467-4548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1033080445
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 17, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 17, 2025

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