As an entry-level substance abuse counselor, your job is to help protect and support the mental health of a patient and guide them through the rehabilitation process. In this role, you may discuss drug and alcohol abuse with each client, determine whether or not they need an intervention, and create a personalized therapy or treatment plan based on their unique needs. This job title can be confusing because some substance abuse counselors perform counseling work before becoming licensed counselors, so be sure to check whether any job posting you are interested in is for recent college graduates or for fully-licensed counselors.