# GEOFFREY CLARK RYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942711825
- **Gender:** Man
- **Credential:** LCSW, LCDC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 15295 | TX | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CO37590616 | CA | — |
| 1041C0700X | Clinical Social Worker | 67603 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 12/05/2025