Provider Demographics
NPI:1467268151
Name:BRITTEN, MARIN (ACHMC)
Entity type:Individual
Prefix:
First Name:MARIN
Middle Name:
Last Name:BRITTEN
Suffix:
Gender:F
Credentials:ACHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 W SILVER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5982
Mailing Address - Country:US
Mailing Address - Phone:702-628-3858
Mailing Address - Fax:
Practice Address - Street 1:WELLSPACE UTAH PLLC
Practice Address - Street 2:60 SOUTH 600 EAST STE 100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102
Practice Address - Country:US
Practice Address - Phone:801-906-0525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13963780-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health