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

Hope Services, LLC

Associate Professional

Raleigh, NC · On-site

Position intended for non-licensed mental health counselors. * Bilingual candidates are encouraged ... health/substance use experience. * Bachelor's degree in a human services field with less than 2 ...

Hope Services LLC

Associate Professional

Smithfield, NC · On-site

Position intended for non-licensed mental health counselors. * Bilingual candidates are encouraged ... health/substance use experience. * Bachelor's degree in a human services field with less than 2 ...

Veracity

Psychiatrist

Raleigh, NC · On-site

... and co-occurring substance use disorders. * Provide continuity of care through intake ... Provide counseling on adherence to treatment and behavioral interventions. * Prescribe/manage ...

BAART Programs

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

BAART Programs

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

BAART Programs

Dispensing Nurse - LPN

Durham, NC

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

BAART Programs

Dispensing Nurse - LPN

Durham, NC · On-site

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

baymark

Dispensing Nurse - LPN

Durham, NC · On-site

$25 - $33.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

BAART Programs

Dispensing Nurse - LPN

Durham, NC · On-site

$23.25 - $31.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

baymark

Dispensing Nurse - LPN

Durham, NC · On-site

$23.25 - $31.75/hr

An ideal dispensing nurse candidate works cooperatively with supervisory counseling staff and demonstrates a non-judgmental and accepting attitude toward the Substance Use Disorder. Essential Duties ...

Morse Clinic of Durham

RN or LPN Dosing Nurse

Durham, NC · On-site

$35 - $38/hr

MOUD is the use of medications, in combination with counseling, mental and behavioral therapies, to provide a holistic approach to the treatment of substance use disorders. MOUD is the gold standard ...

Steadfast Health

Licensed Clinical Therapist (SUD)

Raleigh, NC · On-site

$57K - $77K/yr

Minimum of 1 year experience providing therapy to individuals with substance use disorders. * Certification in addiction counseling is a plus. * Experience with telehealth platforms and virtual care ...

Steadfast Health

Licensed Clinical Therapist (SUD)

Raleigh, NC · On-site

$57K - $77K/yr

Minimum of 1 year experience providing therapy to individuals with substance use disorders. * Certification in addiction counseling is a plus. * Experience with telehealth platforms and virtual care ...

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All JobsSubstance Use Counselor JobsSubstance Use Counselor Jobs in Raleigh, NC

Substance Use Counselor information

See Raleigh, NC salary details

$13

$24

$34

How much do substance use counselor jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for substance use 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 is a substance use counselor?

A Substance Use Counselor is a mental health professional who helps individuals struggling with drug, alcohol, or other substance dependencies. They assess clients’ needs, develop treatment plans, provide counseling, and support clients through recovery. Substance Use Counselors may work in rehabilitation centers, hospitals, or community organizations, often collaborating with other healthcare professionals. Their goal is to help clients understand their addiction, develop coping strategies, and maintain long-term sobriety.

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

To thrive as a Substance Use Counselor, you need a background in counseling, psychology, or social work—often with a relevant degree and state licensure or certification. Familiarity with case management systems, assessment tools, and evidence-based treatment modalities such as CBT or motivational interviewing is common. Strong interpersonal skills, active listening, and cultural sensitivity help build trust and rapport with clients. These competencies are essential for providing effective support, fostering recovery, and navigating the complexities of addiction treatment.

What are some common challenges substance use counselors face when working with clients, and how are these typically addressed within the team?

Substance Use Counselors often encounter challenges such as client relapse, resistance to treatment, and co-occurring mental health disorders. These issues are typically addressed through regular team meetings, case consultations, and collaboration with other healthcare professionals like social workers and psychiatrists. Counselors also receive ongoing training and supervision to stay updated on best practices and to ensure they have the support needed to manage complex cases. This team-based approach helps provide comprehensive care and promotes the counselor's professional growth.

What is the difference between Substance Use Counselor vs Addiction Therapist?

AspectSubstance Use CounselorAddiction Therapist
CredentialsCertification (e.g., CADC, CAC)Licensed or certified in addiction counseling
Work EnvironmentRehabilitation centers, outpatient clinicsRehab facilities, mental health clinics
Industry UsageCommonly used in healthcare and community programsOften used interchangeably with Substance Use Counselor

Both roles focus on helping individuals overcome substance abuse, often requiring similar certifications and working in comparable environments. The main difference lies in terminology preference, with 'Addiction Therapist' sometimes implying a broader scope of mental health treatment. However, in practice, these titles are often used interchangeably in the industry.

What do you need to be a substance use counselor?

To become a substance use counselor, you typically need a relevant bachelor's degree or higher in fields like psychology, social work, or counseling, along with specialized training in addiction treatment. Certification or licensure, such as Certified Alcohol and Drug Counselor (CADC), is often required or preferred. Strong communication skills, empathy, and knowledge of addiction recovery are essential for success in this role.

Is it worth becoming a substance use counselor?

A substance use counselor helps individuals recover from addiction by providing therapy, support, and education. The role often requires relevant certifications, strong communication skills, and empathy, with job growth expected due to increasing awareness of substance abuse issues. It can be a rewarding career for those interested in mental health and helping others, though it may involve emotional challenges and variable work hours.
What are popular job titles related to Substance Use Counselor jobs in Raleigh, NC? For Substance Use Counselor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Substance Use Counselor jobs in Raleigh, NC look for? The top searched job categories for Substance Use Counselor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Substance Use Counselor jobs? Cities near Raleigh, NC with the most Substance Use Counselor job openings:
Substance Use Counselor jobs near you
Infographic showing various Substance Use Counselor job openings in Raleigh, NC as of August 2026, with employment types broken down into 8% As Needed, 76% Full Time, 14% Part Time, and 2% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $51,499 per year, or $24.8 per hour.

Associate Professional

Hope Services, LLC

Raleigh, NC • On-site

Full-time

Posted 5 days ago

Job description

Description:

Currently seeking Associate Professionals for our Facilities in Smithfield & Raleigh NC Child/Adolescents Services:

Locations for Associate Professional:

1329 Brightleaf Blvd. Smithfield NC.

2900 Kidd Rd. Raleigh NC.

  • Full-time position with benefits.
  • Position intended for non-licensed mental health counselors.
  • Bilingual candidates are encouraged to apply.
  • Duties Include:
  • Implementing the treatment plan.
  • Behavior management and crisis intervention.
  • Collaboration with schools.
  • Implementing therapeutic groups as outlined in the curriculum.
Requirements:

Job details:

  • The instructor is a direct care clinical position.
  • The FBS Instructor shall be at least 18 years of age, able to read and write, understand and follow directions; and at minimum meet the requirements of an Associate professional according to 10A NCAC 27G .0104.
  • Master’s degree in a human services field with less than 1 year of post-graduate mental health/substance use experience.
  • Bachelor’s degree in a human services field with less than 2 years of post-bachelor mental health/substance use experience.
  • Bachelor’s degree in a non-human-services field with less than 4 years of relevant experience.
  • In addition to the above requirements, the FBS Instructor must meet credentialing, training, experience, and supervision requirements to provide child and adolescent day treatment and partial hospitalization as indicated in DMA Clinical Coverage Policy 8A.
  • The FBS Instructor is responsible for implementing developmentally appropriate direct preventive and therapeutic interventions to accomplish the goals of the PCP, as related to the mental health or substance abuse diagnosis for those receiving services under the supervision of a Qualified Professional.
  • The Instructor shall report to the Lead Instructor.