Individual provider · Type 1 NPI
Melonee Cornish, CRADC
Addiction (Substance Use Disorder) Counselor · Wood River, IL
NPI number
1639823776
Active
Practice location
304 Wesley Dr
Wood River, IL 62095-2266
Fax (618) 258-7645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 23977 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Wood River
About NPI 1639823776
Melonee Cornish, CRADC's National Provider Identifier is 1639823776, issued on Feb 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wood River, IL. The record was last updated on Feb 8, 2022.