Provider Demographics
NPI:1033778105
Name:MARTEN, STEPHEN (LMFT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MARTEN
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 N DRIFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ENOCH
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7041
Mailing Address - Country:US
Mailing Address - Phone:406-304-7069
Mailing Address - Fax:
Practice Address - Street 1:86 S MAIN ST STE 109
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3337
Practice Address - Country:US
Practice Address - Phone:406-304-7069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11694219-3902101YM0800X
MTBBH-LPCP-LIC-38064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health