Melonee Cornish, CRADC

NPI 1639823776 · on the registry since 2022 · sole proprietor

Practice

Address: 304 Wesley Dr
Wood River, IL 62095
Phone: (618) 258-7592
Fax: (618) 258-7645
Organisation at this address: Southern Illinois Treatment Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois