Provider Demographics
NPI:1568031631
Name:KILGRO, ANNA MAY (LMHC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MAY
Last Name:KILGRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CARMEL AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2843
Mailing Address - Country:US
Mailing Address - Phone:505-308-5226
Mailing Address - Fax:505-514-0754
Practice Address - Street 1:5701 CARMEL AVE NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2843
Practice Address - Country:US
Practice Address - Phone:505-308-5226
Practice Address - Fax:505-514-0754
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NMCTB-2024-0349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician