Organization
DLW FORENSIC COMMUNITY NAVIGATION SPECIALIST, LLC
Active
Organization
DLW FORENSIC COMMUNITY NAVIGATION SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRE WALLACE CCHW,CCSS (OWNER)
(505) 238-4257
Entity
Organization
Contact information
Practice address
3803 ASPEN AVE NE APT 25, ALBUQUERQUE, NM 87110-5651
(505) 238-4257
(505) 238-4257
Mailing address
3803 ASPEN AVE NE APT 25, ALBUQUERQUE, NM 87110-5651
(505) 238-4257
(505) 238-4257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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