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Addiction Counseling Jobs in Raleigh, NC (NOW HIRING)

Completion of a master's degree in addiction; career; clinical mental health; clinical rehabilitation; college counseling and student affairs; marriage, couple, and family counseling; or ...

Responsibilities: 1. Develops an individualized treatment plan incorporating individual counseling ... Must have knowledge about pharmacological treatment for addiction and/or other mental illness.

Substance Abuse Counselor

Durham, NC · On-site

$21.50 - $29/hr

Provide individual and group counseling services; direct service hours at regularly scheduled ... Previous experience working with Medically Assisted Treatment addiction patients for at least one ...

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

Our Red Oak campuses offer a unique blend of clinical rehabilitation, 12 step addiction recovery, proven addiction therapy services, family counseling, and experiential and adventure therapy for men.

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Addiction Counseling information

See Raleigh, NC salary details

$36K

$51.5K

$68.5K

How much do addiction counseling jobs pay per year?

As of Jul 27, 2026, the average yearly pay for addiction counseling in Raleigh, NC is $51,519.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,700.00 and $54,400.00 per year, depending on experience, location, and employer.

How do addiction counselors typically collaborate with other healthcare professionals to support client recovery?

Addiction counselors often work closely with a multidisciplinary team, including doctors, psychiatrists, social workers, and case managers, to provide comprehensive care for clients. This collaboration ensures that clients receive support for both their substance use issues and any co-occurring mental or physical health concerns. Regular team meetings, shared treatment plans, and coordinated referrals are common practices. Effective communication and teamwork are essential, as they help create a unified approach to each client's recovery journey.

What can I do with a degree in addiction counseling?

A degree in addiction counseling prepares individuals to work as addiction counselors, providing support and treatment to those with substance use disorders. Graduates can work in outpatient clinics, rehabilitation centers, hospitals, or community health organizations, often requiring certification or licensure depending on the region. The role involves counseling, developing treatment plans, and utilizing skills in mental health and addiction recovery.

What are the key skills and qualifications needed to thrive as an Addiction Counselor, and why are they important?

To thrive as an Addiction Counselor, you need a background in psychology or social work, specialized training in substance abuse counseling, and often state licensure or certification. Familiarity with assessment tools, electronic health records, and evidence-based therapy methods like CBT or motivational interviewing is typically required. Compassion, active listening, and strong interpersonal skills help build trust and motivate clients through recovery. These skills and qualifications are essential for providing effective support, ensuring ethical practice, and facilitating positive outcomes for individuals struggling with addiction.

What is the difference between Addiction Counseling vs Substance Abuse Counseling?

AspectAddiction CounselingSubstance Abuse Counseling
CredentialsOften requires certification such as Certified Addiction Counselor (CAC)Similar certifications, often CAC or Licensed Substance Abuse Counselor
Work EnvironmentClinics, rehab centers, outpatient programsRehab facilities, outpatient clinics, community health centers
Industry UsageUsed interchangeably in many settings, focus on addiction recoveryFocuses specifically on substance abuse issues, often used in treatment programs

Both Addiction Counseling and Substance Abuse Counseling involve helping individuals overcome addiction and substance-related issues. While they share similar credentials and work environments, Addiction Counseling often emphasizes a broader approach to addiction recovery, whereas Substance Abuse Counseling specifically targets substance-related problems. The terms are frequently used interchangeably, but understanding their nuances can help in choosing the right career or treatment path.

What is addiction counseling?

Addiction counseling is a professional service that helps individuals struggling with substance abuse or behavioral addictions. Counselors work with clients to understand the root causes of their addiction, develop coping strategies, and create personalized treatment plans. They often use various therapeutic approaches such as cognitive-behavioral therapy, motivational interviewing, and group counseling. The goal of addiction counseling is to support clients in achieving and maintaining recovery, improving their mental health, and rebuilding their lives.

What field of counseling makes the most money?

In counseling, addiction counselors with advanced certifications or those who work in private practice or specialized treatment centers tend to earn higher salaries. However, licensed mental health counselors and clinical psychologists generally have higher earning potential compared to other counseling roles, especially with experience and additional credentials.

What is the highest paid addiction counselor?

The highest paid addiction counselors typically work in specialized settings or hold advanced certifications, with salaries reaching over $70,000 annually. Experienced counselors with additional credentials or those in supervisory or administrative roles can earn higher salaries, especially in private practice or healthcare organizations.

Is addiction counseling a good career?

Addiction counseling is a rewarding career that involves helping individuals recover from substance use disorders. It typically requires relevant education, certification, and strong interpersonal skills, with job growth expected due to increasing awareness of addiction issues. The role offers opportunities for personal fulfillment and a stable work environment in healthcare or social services settings.
What are popular job titles related to Addiction Counseling jobs in Raleigh, NC? For Addiction Counseling jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Addiction Counseling jobs in Raleigh, NC look for? The top searched job categories for Addiction Counseling jobs in Raleigh, NC are:
Infographic showing various Addiction Counseling job openings in Raleigh, NC as of July 2026, with employment types broken down into 3% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $51,519 per year, or $24.8 per hour.

PRN In-person Midlevel with Addiction Experience

Athra Systems

Garner, NC • On-site

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

Who is Athra System? 
Athra Systems/Crosstown Mental Health is a dynamic and forward-thinking organization dedicated to offering a wide array of behavioral health services and solutions. We pride ourselves on fostering a supportive and inclusive work environment where every team member can thrive and contribute to our collective success.
Position Overview:
We are seeking a highly skilled and compassionate Family Nurse Practitioner (FNP)/Physician Assistant with addiction medicine experience to join our team. The clinician will provide comprehensive psychiatric care, including assessment, diagnosis, and treatment, to patients with a variety of mental health conditions in a residential treatment setting in addition to history and physicals and medical follow-up. This role involves collaborating with our team of psychiatrists other team members. 

Key Responsibilities:

  • Conduct psychiatric evaluations and assessments for patients.
  • Complete history and physicals
  • Medical follow-up 
  • Develop, implement, and monitor individualized treatment plans.
  • Prescribe and manage psychopharmacological treatments.
  • Provide psychotherapy and counseling to patients.
  • Collaborate with multidisciplinary team members to ensure coordinated care.
  • Maintain detailed and accurate patient records.
  • Participate in case conferences, treatment planning meetings, and other collaborative efforts.
  • Stay current with advancements in psychiatric care and participate in continuing education activities.

Qualifications:

  • Master's or Doctorate degree in Nursing from an accredited program.
  • Two years of experience working as a midlevel provider is preferred.
  • Board Certification is required. 
  • Behavioral health or addiction treatment experience preferred. 
  • Active and unrestricted nursing/medical license in North Carolina.
  • DEA registration and prescriptive authority in North Carolina.
  • Strong clinical skills in the assessment and treatment of psychiatric conditions.
  • Excellent communication and interpersonal skills.
  • Ability to work effectively within a multidisciplinary team.
  • Commitment to providing high-quality, patient-centered care.
  • This is an in-person position. 

Benefits:

  • Competitive salary commensurate with experience.
  • Comprehensive benefits package including health, dental, vision, and life insurance.
  • Employer paid health insurance that is effective day one of employment. 
  • Retirement plan with employer contribution.
  • Unlimited paid time off. 
  • Continuing education and professional development opportunities.
  • Supportive and collaborative work environment.

Athra Systems/Crosstown Mental Health is an equal opportunity employer.