Individual
TIFFANY NOHELANI WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E 5TH AVE STE 109, NAPERVILLE, IL 60563-3173
(331) 248-6194
Mailing address
1895 RIDGEMONT CT, MONTGOMERY, IL 60538-2932
(719) 648-9945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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