Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lacey Lynn Longo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558221895

Lacey Lynn Longo is an Addiction (Substance Use Disorder) Counselor in Fowler, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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Practice location Address checks out

1311 N 1720th Ave
Fowler, IL 62338-1016
Phone: (217) 506-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CADC-45328 (IL)

Record details

NPI number1558221895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 17, 2025
Mailing address1390 Market St Ste 200, San Francisco, CA 94102-5404