Most Relevant Information
Provider Data
| NPI Number: | 1003179185 |
| Provider Name: | BRYAN JAMES HINMAN M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 180.009520 |
Most Important Dates
| Enumeration Date: | 06/22/2012 |
| Last Updated: | 11/13/2023 |
Provider Practice Location
702 W CHESTNUT ST
BLOOMINGTON
IL
617012814
Practice Location Phone/Fax
| Phone: | 3095571409 |
| Fax: |
Provider Mailing Location
101 NORTHFIELD DRIVE
APARTMENT F8
NORMAL
IL
617614713
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |