Cornish, Melonee

Cornish, Melonee is an sole proprietor health care provider with primary practice located at 304 Wesley Dr , Wood River IL 62095-2266. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cornish, Melonee can be contacted via phone (618) 258-7592.

Contact Information

Primary practice address
304 Wesley Dr Wood River IL 62095-2266
Phone: (618) 258-7592
Fax: (618) 258-7645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 23977 Illinois

Profile Details

NPI number 1639823776
LBN Legal business name Cornish, Melonee
Credentials CRADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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