| Doctor Name: | MS. CARLA MARIE CLEMENTS-SHANDS |
| NPI Number: | 1396006839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS., LADACII |
| License Number: | 840 |
| Business Practice Address: | 3 Derry Park Drive #9 Middleboro, MA - 023461937 |
| Business Phone Number: | 5614004591 |
| Business Fax Number: | |
| Mailing Address: | 3 Derry Park Drive #9, MIDDLEBORO |
| State: | MA |
| Postal Code: | 023461937 |
| Phone Number: | 5614004591 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2012 |
| NPI Last Update Date: | 06/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |