Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELONEE CORNISH, CRADC
Active Sole ProprietorMELONEE CORNISH, CRADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WOOD RIVER, Illinois. NPI 1639823776 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WOOD RIVER, IL
Registration Details
- NPI Number
- 1639823776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2022 (4.5062160694341 yrs)
- Last Updated
- Feb 8, 2022
- License
-
23977 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 WESLEY DRWOOD RIVER, IL, 620952266Browse IL providers · Browse ZIP 62095
- Phone
- 6182587592
- Fax
- 6182587645
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WOOD RIVER, IL
| Name | Credential | NPI |
|---|---|---|
| AMANDA C MCMURRAY | CADC | 1396499042 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.