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General NPI Number Information
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NPI Number | 1386768943
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Entity Type | Organization
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Legal Business Name | POIGNANT POSSIBILITIES, LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1420 LINCOLN WAY SUITE 500
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2390
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Country | US
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Telephone | 208-667-8474
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Fax | 208-665-5704
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Provider Business Mailing Address
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Address Line | 1420 LINCOLN WAY SUITE 500
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2390
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Country | US
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Telephone | 208-667-8474
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Fax | 208-665-5704
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Authorized Official
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Title or Position | COUNSELOR -COOWNER
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Name | MRS. RAQUEL ANGELA KELLICUT
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Credential | MA, LCPC, LMFT
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Telephone | 208-667-8474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LCPC 137
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00003616
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 179
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00004911
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 3069
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00000961
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 3089
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00001127
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License Number State | WA
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