Individual provider · Type 1 NPI

Otosha Moore Fryar

Marriage & Family Therapist · Jacksonville, NC

NPI number 1407705171 Active

Practice location

200 Valencia Dr
Jacksonville, NC 28546-6311

Call (910) 264-3902 Map

Mailing address

108 Jamison Dr
Raleigh, NC 27610-8616

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X20854A (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1407705171

Otosha Moore Fryar's National Provider Identifier is 1407705171, issued on Jan 26, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Jacksonville, NC. The record was last updated on Jan 26, 2026.