Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otosha Moore Fryar

Individual provider Marriage & Family Therapist · NPI 1407705171

Otosha Moore Fryar is a Marriage & Family Therapist in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

200 Valencia Dr
Jacksonville, NC 28546-6311
Phone: (910) 264-3902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 20854A (NC)

Record details

NPI number1407705171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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