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Substance Abuse Counselor Jobs in Raleigh, NC (NOW HIRING)

Hope Services, LLC

Mental Health Counselor

Smithfield, NC · On-site

$49K - $53K/yr

... substance abuse problems, and their families. In order to achieve this, our agency not only ... Counselors will work as part of a team to provide intensive home based services to children and ...

Hope Services, LLC

Day Treatment Counselor

Raleigh, NC · On-site

... substance abuse problems, and their families. In order to achieve this, our agency not only ... Position intended for non-licensed mental health counselors. * Duties include: * implementing ...

Hope Services LLC

Day Treatment Counselor

Raleigh, NC · On-site

... substance abuse problems, and their families. In order to achieve this, our agency not only ... Position intended for non-licensed mental health counselors. * Duties include: * implementing ...

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Substance Abuse Counselor information

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How much do substance abuse counselor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for substance abuse counselor in Raleigh, NC is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $28.03 per hour, depending on experience, location, and employer.

What does a substance abuse counselor do?

A Substance Abuse Counselor helps individuals struggling with drug, alcohol, or other substance dependencies to overcome their addictions and lead healthier lives. They provide counseling, support, and treatment planning, often working with clients individually and in group settings. These counselors also educate clients on coping strategies, coordinate care with other healthcare professionals, and may assist with crisis intervention. Their work is essential in supporting recovery and preventing relapse.

What does a substance abuse counselor do?

A substance abuse counselor works with patients who struggle with addiction to drugs and alcohol. A substance abuse counselor provides treatment with the goals of crisis care, prevention, and recovery. Part of a substance abuse counselor’s work is to conduct individual and group counseling sessions. A substance abuse counselor also interviews potential patients for treatment programs, reviews and maintains patient records, and develops treatment plans for patients on their caseload.

What are the key skills and qualifications needed to thrive as a substance abuse counselor?

To thrive as a Substance Abuse Counselor, you need a background in psychology, counseling, or social work, often requiring at least a bachelor's degree and state certification or licensure. Familiarity with case management software and standardized assessment tools is typically expected. Strong interpersonal skills, empathy, and the ability to build trust are crucial for supporting clients through recovery. These competencies enable counselors to provide effective treatment, foster client engagement, and navigate complex emotional and behavioral challenges.

What are some common challenges substance abuse counselors face when working with clients, and how are they addressed?

Substance Abuse Counselors often encounter challenges such as client relapse, resistance to treatment, and managing high caseloads. To address these, counselors employ evidence-based techniques like motivational interviewing, engage in continuous professional development, and collaborate closely with multidisciplinary teams including social workers, medical professionals, and family members. Regular supervision, peer support, and self-care practices are also essential to manage the emotional demands of the role and maintain effectiveness in supporting clients through recovery.

What is the difference between Substance Abuse Counselor vs Mental Health Counselor?

AspectSubstance Abuse CounselorMental Health Counselor
CredentialsCertification (e.g., CADC, CAC)Licensing (e.g., LMHC, LCSW)
Work EnvironmentRehabilitation centers, clinics, outpatient programsHospitals, clinics, private practices
Employer & IndustrySubstance abuse treatment facilities, healthcare providersMental health clinics, hospitals, community agencies
Common Search/ComparisonYesYes

Substance Abuse Counselors primarily focus on helping clients overcome addiction and substance-related issues, often working in specialized treatment centers. Mental Health Counselors address a broader range of mental health issues, including anxiety, depression, and trauma, in various settings. While both roles require counseling skills and relevant certifications, Substance Abuse Counselors typically hold specific credentials related to addiction treatment. Understanding these differences can help individuals choose the right career path or find appropriate support services.

Is a substance abuse counselor a good career?

A substance abuse counselor is a rewarding career that involves helping individuals recover from addiction through counseling and support. It typically requires relevant certifications, strong communication skills, and the ability to work in various settings such as clinics or community programs. Job growth in this field is steady, and it offers opportunities for personal fulfillment and professional development.

What degree is best for a substance abuse counselor?

A bachelor's degree in psychology, social work, counseling, or a related field is typically required to become a substance abuse counselor. Many employers prefer or require a master's degree in counseling, psychology, or social work for advanced positions and licensure eligibility.

Where do substance abuse counselors make the most money?

Substance abuse counselors tend to earn higher salaries in regions with a higher cost of living and greater demand for mental health services, such as urban areas or states with well-funded healthcare systems. Experience, certifications, and working in private practice or specialized facilities can also increase earning potential.
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The most popular types of Substance Abuse Counselor jobs in Raleigh, NC are:

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For Substance Abuse Counselor jobs in Raleigh, NC, the most frequently searched job titles are:

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The top searched job categories for Substance Abuse Counselor jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Substance Abuse Counselor jobs?

Cities near Raleigh, NC with the most Substance Abuse Counselor job openings:

Substance Abuse Counselor jobs near you
Infographic showing various Substance Abuse Counselor job openings in Raleigh, NC as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $51,499 per year, or $24.8 per hour.

Day Treatment Counselor

Hope Services, LLC

Smithfield, NC

Full-time

Re-posted 2 days ago

Job description

Description

 Why Hope Services?  Hope Services, LLC (a certified CABHA with a robust continuum of care for children and adolescents) is dedicated to providing and prioritizing only quality and effective service delivery for children and  adolescents with mental health and/or substance abuse problems, and their families.  In order to achieve this, our agency not only recruits and hires staff with experience and desire to work with our target consumer populations, but also supports and is committed to the implementation and sustainability of evidence based treatment models specific to our priority populations. Hope Services, LLC is dedicated to improving the lives of those we serve.  
Currently seeking Qualified Professionals to work in our Raleigh and Smithfield Child/Adolescent Day Treatment Facility. 

  • Full time position with benefits. 
  • Position intended for non-licensed mental health counselors. 
  • Duties include:
  1. implementing treatment plan
  2. behavior management and crisis intervention
  3. collaboration with schools
  4. implementing therapeutic groups as outlined in curriculum.

#ZR

Requirements

  Experience working in a group setting or educational setting preferred 

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