Meet the Team

Continuum Outpatient Center is a unique addiction treatment center in Texas a short distance from Austin and San Antonio. Our recovery team uses evidence-based treatment methods, along with an underlying holistic approach, to form a unique care plan to meet your needs in recovery.

Dr. Jeffrey L. Butts


Crissy Clark


Randee Garcia


Larissa Valeriano


Ashley Perez


Looking for Outpatient Treatment?

The Continuum Outpatient Center is the perfect place to continue your journey to sobriety. Call us today!

Dr. Jeffrey L. Butts

Medical Director | M.D.

Dr. Butts is a fellow of the American Board of Addiction Medicine and is a diplomate of the American Osteopathic Board of Family Physicians (double board certified addictionologist). He earned his undergraduate degree from The University of Texas in Austin and medical degree from Texas College of Osteopathic Medicine in Fort Worth.

Dr. Butts began practicing medicine as a family physician where he ran a solo family practice for 15 years. In 1999, he embraced an emerging trend in medical practice known as “concierge medicine” and began offering personalized treatment packages. In 2003, Dr. Butts founded a concierge practice called Celebrity Care making ‘house calls’ for the music and film industry.

Dr. Butts was not immune to life challenges that included a personal struggle with drugs and alcohol. These challenges led to a specialty change in 2004. He sold his solo practice and followed a path into addiction medicine. He worked from 2006 till 2011 in an addiction practice, mentored by one of the early advocates of medication-assisted treatment for the opioid addicted patient (David Jones M.D.).

Dr. Butts and Mrs. Jennifer Butts moved to Boerne, Texas in 2011 and opened Celebrity Care Medical Clinic, an outpatient addiction practice. The ‘celebrities’ Dr. Butts treats now are individuals in recovery from a substance use disorder. Celebrity Care offers personalized and confidential treatment of unhealthy lifestyles in an affordable program under the care of a Suboxone licensed physician for stabilizing opioid dependency. Medications prescribed for alcohol use disorder include Vivitrol, Campral, and Antabuse. Co-occurring mood disorders and pain in individuals prone to addiction are also addressed.

Dr. Butts served as the medical director for Covenant Hills, a residential treatment center for women from 2011 till 2016. This experience motivated him to establish Addiction Medicine Consultants of Texas (AMCOT), PLLC in 2013. AMCOT provides addiction medicine consults, medical directorships, in-patient treatment, and aftercare to the broader treatment community. He is the Medical Director for Ripple Recovery Ranch and has held the position as interim Medical Director during start-up and transition periods for SOBA Recovery Center, Cedar Creek Recovery, and Warriors Heart.

AMCOT is gearing up to meet a new challenge for 2018 – to expand availability and provision of evidence based addiction treatment (medication-assisted therapy) in underserved markets through the use of telemedicine technology. Dr. Butts is teaming up with other addiction professionals including psychiatrists, mid-level providers, and counselors to provide addiction consults 24/7.

Dr. Butts’ Altruistic projects have included past medical mission trips to Guyana, Mexico, Venezuela, and serving as a founding board member for the Tribal Outreach Medical Assistance Foundation.

Crissy Clark


Crissy grew up in Texas and spent most of her life in New Braunfels. She earned her bachelor’s degree in Spanish at the University of Houston. She went on to get her master’s degree in Social Work at Texas State University. Crissy developed an interest in Substance Abuse Recovery while working at Austin Recovery Treatment Center in Kyle, Texas. This is also when she developed an interest in Trauma Treatments. Crissy has a passion for learning creative ways to offer individualized treatments for Trauma and Substance Abuse. Crissy has also worked in Community Mental Health, worked with dual diagnosis and people on probation and has experience working with Child Protective Services. She is trained in CBT, CPT, EMDR and TFCBT.

Crissy enjoys traveling, hiking, reading, spending time with family and being active in her free time. She loves working with the dynamic team at Ripple Ranch Recovery and guiding the clinical team to provide personalized services to each unique individual who comes in search of treatment.

Randee Garcia

Admissions Manager

Randee was born and raised in California but knew she was a Texas girl at heart. She fell into the role of a wife/mother at a young age but started forgetting to take care of herself. Randee always struggled with addictive behaviors but didn’t see a problem until her life became completely unmanageable. Once she got the gift of desperation, she entered Ripple Ranch’s in-patient program.

After completing the program successfully, she was determined to continue turning her life around and to help others do the same. Randee has done just that by working as a client navigator helping the homeless get resources for affordable healthcare, food, and housing, and she has spent many nights working as a behavioral technician. Randee is an example to others of how recovery is always possible.

Randee has now returned to Ripple Ranch as an admissions counselor to continue helping others see that light in the darkness. When she is not at work, she spends her time with her family and loves every minute of it.

Larissa Valeriano, MS, LPC Associate Supervised by Kathleen Arbuckle, MEd, LPC-S

Clinical Director

Larissa Valeriano brings to clients a comprehensive approach to treatment. As the Clinical Director with a master’s degree in Clinical Mental Health Counseling and an LPC Associate license, Larissa’s approach
to solutions and outcomes is rooted in connections, vulnerability, servant leadership, and adding value to others.

In addition to serving as the Clinical Director at Continuum, Larissa also provides individual counseling, working closely with clients in processing childhood and adulthood trauma as well as teaching emotional regulation skills and other DBT and CBT coping skills. She is trained in EMDR therapy and specializes in trauma and substance use disorders.

Larissa understands the importance of bringing evidenced based therapy to clients and ensures that she and her treatment team provide ethical, evidenced based therapeutic approaches and utilize best practices.

Ashley Perez

Client Services Manager

Texas born and raised, Ashley grew up in Lytle, TX, and San Antonio surrounding areas. She played collegiate basketball while earning her Bachelor’s degree in Criminology from Texas A&M University- Kingsville. She went on to work as a Correctional Officer at Guadalupe County, where there she found a passion for helping others who were battling with substance abuse and mental health. Ashley has a strong passion for helping those in need get the help that they require.

In her free time, Ashley loves spending time with family, friends and loved ones. She is often found on long walks with her Chow Chow Spud. Ashley enjoys developing new ways to serve the community with the staff at Continuum. Each day is a new day to provide personalized services to each unique individual who comes in search of treatment.