Individual
MELONEE CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRADC
Contact information
Practice address
304 WESLEY DR, WOOD RIVER, IL 62095-2266
(618) 258-7592
(618) 258-7645
Mailing address
304 WESLEY DR, WOOD RIVER, IL 62095-2266
(618) 258-7592
(618) 258-7645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23977
IL
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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