Individual
HANNAH JEAN WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E CHESTNUT ST, BLOOMINGTON, IL 61701-3009
(309) 490-3060
Mailing address
200 W MONROE ST STE 23, BLOOMINGTON, IL 61701-3955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.021339
IL
Other
Enumeration date
11/03/2022
Last updated
01/07/2026
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