Explore Substance Abuse Counselor Jobs

Substance abuse counselors help people address addiction and substance use disorders through assessment, treatment planning, counseling, and ongoing recovery support. On Ladders, explore vetted opportunities for experienced professionals, including roles in behavioral health organizations, hospitals, treatment centers, and community-based programs. Many listings target positions paying $100,000 or more, particularly for senior clinicians, program leaders, and specialized practitioners.

What Substance Abuse Counselors Do

Responsibilities vary by setting and credentials, but may include evaluating clients, developing individualized care plans, conducting individual or group counseling, coordinating referrals, documenting progress, and supporting relapse prevention. Counselors often collaborate with physicians, therapists, social workers, and families to help clients navigate recovery.

Common Job Titles and Career Paths

Related titles include addiction counselor, substance use disorder counselor, clinical counselor, behavioral health therapist, recovery services manager, and addiction treatment program director. With experience and advanced qualifications, professionals may move into clinical supervision, program management, or organizational leadership.

Skills and Qualifications

Employers commonly seek strong counseling and communication skills, knowledge of evidence-based treatment approaches, sound clinical judgment, and experience with treatment documentation and care coordination. Licensing and certification requirements vary by state and employer. Some roles require a master’s degree, independent clinical licensure, or specialized credentials, while others accept different combinations of education and supervised experience.

Find Substance Abuse Counselor Roles on Ladders

Use Ladders to explore vetted professional jobs with compensation of $100,000 or more. Compare opportunities by seniority, location, employer, and responsibilities to identify roles that fit your experience and career goals. Review each listing carefully for its salary range, credential requirements, and work setting.

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$108K - $116K *

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$94K - $164K *

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2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$180K - $235K *

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Reposted 5 days ago

  •   8 - 10 years exp.  •   Finance & Insurance

$60K - $107K *

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Concord, CARemote

Yesterday

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$54K - $119K *

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  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$150K - $200K *

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  •   5 - 7 years exp.  •   Finance & Insurance

$105K - $115K *

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4 days ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $120K *

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Warren, VTRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $129K *

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Pennsylvania, USRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$60K - $129K *

Transform member wellness through telephonic and face-to-face case management. Collaborate on care plans, assess needs, and utilize clinical tools to enhance health outcomes. Join a remote team dedica...

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1 week ago

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$150K - $200K *

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Atlanta, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join a dedicated team providing individual therapy to adults, addressing various mental health challenges. You'll conduct intake assessments, maintain client records, and ensure referrals, all while w...

Burlington, VTRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower clients through virtual therapy, delivering comprehensive care and support. This full-time remote role involves client assessment, treatment planning, and documentation, ensuring adherence to...

Providence, RIRemote

3 weeks ago

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$85K - $100K *

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1 week ago

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$91K - $120K *

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California, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $150K *

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Today

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

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Atlanta, GARemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $86K *

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Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Staffing

$90K - $110K *

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3 weeks ago

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$180K - $210K *

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  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$72K - $91K *

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2 weeks ago

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1 week ago

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3 weeks ago

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3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a substance abuse counselor do?question toggle

    A substance abuse counselor assesses clients’ needs, supports treatment planning, provides individual or group counseling, tracks progress, and helps clients build strategies for recovery. Duties depend on the role, employer, and credentials.

  • What qualifications are needed for substance abuse counselor jobs?question toggle

    Requirements vary by state and employer. Jobs may call for relevant education, supervised clinical experience, state licensure or certification, and training in addiction treatment. Senior or independently licensed roles may require a graduate degree and advanced credentials.

  • Can substance abuse counselors earn $100,000 or more?question toggle

    Some experienced substance abuse counselors and related professionals earn $100,000 or more, especially in senior clinical, supervisory, specialized, or program leadership positions. Compensation depends on location, qualifications, employer, and scope of responsibility.

  • Where do substance abuse counselors work?question toggle

    They work in settings such as addiction treatment centers, hospitals, behavioral health clinics, community organizations, and other recovery or social service programs.

  • What are common career paths for substance abuse counselors?question toggle

    Career paths can include clinical specialization, independent counseling, clinical supervision, treatment program management, and behavioral health leadership. Advancement often depends on experience, education, and applicable licensure.