person
Melonee Cornish, CRADC
Addiction (Substance Use Disorder) Counselor in Wood River, Illinois
NPI 1639823776

Melonee Cornish is an Addiction (Substance Use Disorder) Counselor based in Wood River, IL and is specialized in Addiction (Substance Use Disorder). Melonee Cornish practices in Wood River, IL and has the professional credentials of CRADC. The NPI Number for Melonee Cornish is 1639823776 and holds a License No. 23977 (Illinois).

The current practice location address for Melonee Cornish is 304 Wesley Dr, Wood River, IL and can be reached out via phone at 618-258-7592 and via fax at 618-258-7645.

Location: 304 Wesley Dr, Wood River, IL, 62095-2266
person
Provider Profile Details
NPI Number
1639823776
Provider Name
Melonee Cornish
Credential
CRADC
Provider Entity Type
Individual
Gender
Female
Address
304 Wesley Dr, Wood River, IL, 62095-2266
Phone Number
618-258-7592
Fax Number
618-258-7645
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 Wesley Dr
City
State
Zip
62095-2266
Phone Number
618-258-7592
Fax Number
618-258-7645
person
Provider Business Mailing Address Details
Address
304 Wesley Dr
City
State
Zip
62095-2266
Phone Number
618-258-7592
Fax Number
618-258-7645
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23977 (Illinois)
Definition
Definition to come...
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