Community and social service
Mental Health and Substance Abuse Social Workers
- Median pay
- $60,280
- Outlook
- Much faster than average
Master's degree
- Social Perceptiveness
- Active Listening
- Speaking
SOC 21-1011.00Bright outlook
Counsel and advise individuals with alcohol, tobacco, drug, or other problems, such as gambling and eating disorders.
Data verified Nov 2026 · CollegesRef 2026–27 edition
Source: BLS 2025 wages · 2025–35 projections · figures for the broader BLS group "Substance abuse, behavioral disorder, and mental health counselors"
Annual pay range
491,930 people work in this occupation.
In short
Substance abuse and behavioral disorder counselors support individuals struggling with addiction, eating disorders, or gambling habits. The career offers a median annual salary of $59,350 and is experiencing rapid employment growth.
Written with AI from the BLS, O*NET and CareerOneStop data on this page. Every figure is checked against that data before it is published.
Counsel and advise individuals with alcohol, tobacco, drug, or other problems, such as gambling and eating disorders. May counsel individuals, families, or groups or engage in prevention programs.
Most need a graduate degree, such as a master's, PhD, MD or JD.
These professionals spend their days assisting and caring for others by counseling individuals, families, or groups. They gather information from clients, establish supportive interpersonal relationships, and help resolve conflicts. Daily tasks also include documenting client progress, planning treatment strategies, and communicating with supervisors and peers.
Success in this field requires strong social skills, particularly active listening, social perceptiveness, and clear speaking. Counselors must understand therapy, psychology, and sociology to provide effective care. Because they work with people facing difficult life challenges, they must demonstrate high levels of empathy, sincerity, self-control, and stress tolerance. They also need strong organizational skills and attention to detail to manage case files and make critical decisions regarding client care.
Entering this field typically requires extensive academic preparation. Most professionals need a graduate degree, and the typical entry-level education is a master's degree. Students often major in mental and social health services and allied professions.
Depending on the state, practitioners may need to obtain a license. Various professional certifications are also available to demonstrate expertise. Examples include the Certified Addiction Treatment Counselor credential from the Addiction Counselor Certification Board of California, and the Certified Alcohol Drug Counselor II from the California Consortium of Addiction Programs and Professionals. Other options include the Nationally Certified Peer Recovery Support Specialist credential from NAADAC, or faith-based credentials like the Christian Substance Abuse Counselor I or II from the Association of Christian Alcohol and Drug Counselors.
In 2025, the median annual pay for this profession was $59,350. The lowest-earning 10 percent of workers made less than $38,940, while the highest-earning 10 percent made more than $97,590. These salary figures represent a broader occupational group that combines substance abuse, behavioral disorder, and mental health counselors.
With 491,930 people employed in this field, the job outlook is highly positive. Employment is projected to grow by 18.4 percent from 2025 to 2035, which is much faster than the average for all occupations. This growth is expected to result in approximately 50,500 job openings each year.
Interest code SIC. Compare it with yours
Addiction Counselor · Addiction Recovery Specialist · Addiction Specialist · Addiction Therapist · Addictions Counselor · Alcohol and Drug Counselor · Alcoholic Counselor · Alcoholism and Substance Abuse Counselor · Behavior Therapist · CADC (Certified Alcohol and Drug Counselor)
Career pathway
Interests that fit the work, the career, majors that lead there and colleges whose graduates in those majors earn the most. Hover or focus a step to follow one path.
1Interests
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3Majors
4Colleges
Interests
This career
Majors
Colleges
College Scorecard program outcomes
Programs that lead to this career, ranked by what their graduates earn four years after finishing. Earnings are for graduates who received federal aid.
Philadelphia, PA · Mental and Social Health Services and Allied Professions · Bachelor's
Harrisonburg, VA · Mental and Social Health Services and Allied Professions · Bachelor's
College Station, TX · Mental and Social Health Services and Allied Professions · Bachelor's
Worcester, MA · Mental and Social Health Services and Allied Professions · Bachelor's
Danbury, CT · Mental and Social Health Services and Allied Professions · Bachelor's
Saint Paul, MN · Mental and Social Health Services and Allied Professions · Bachelor's
Grand Rapids, MI · Mental and Social Health Services and Allied Professions · Bachelor's
Athens, OH · Mental and Social Health Services and Allied Professions · Bachelor's
Source: U.S. Department of Education College Scorecard field-of-study data, 2025. Programs with few graduates are not listed.
NCES CIP–SOC crosswalk
Related programs by four-digit CIP code. They are common routes in, not the only ones.
969 colleges offer it
CareerOneStop
What substance abuse and behavioral disorder counselors may need beyond a degree, where a license is required, and what the work pays in each state.
Core certifications employers recognise for this work.
Programs of study that prepare people for this work.
51 states list a license for this work. Open your state for the license and the agency that issues it.
Certified Adolescent Alcohol & Drug Abuse Professional (CAADP)
Certified Alcohol Drug Counselor, IC & RC (ADC)
Licensed Assistant Behavior Analyst
Licensed Behavior Analyst
Licensed Professional Counselor
Alabama State Department of Education
Assistant Behavioral Analyst
Behavioral Analyst
Professional Counselor
Substance Abuse Counseling
Licensed Associate Counselor (LAC)
Arkansas Board of Examiners in Counseling and Marriage & Family Therapy, Arkansas Department of Health
Licensed Professional Counselor (LPC)
Arkansas Board of Examiners in Counseling and Marriage & Family Therapy, Arkansas Department of Health
Licensed Professional Clinical Counselor (LPCC), License
Board of Behavioral Sciences, Department of Consumer Affairs
Registered Associate Professional Clinical Counselor (APCC), Registration
Board of Behavioral Sciences, Department of Consumer Affairs
Certified Addiction Counselor 1
State Board of Addiction Counselor Examiners, Division of Professions & Occupations, Department of Regulatory Agencies
Certified Addiction Counselor 2
State Board of Addiction Counselor Examiners, Division of Professions & Occupations, Department of Regulatory Agencies
Certified Addiction Counselor 3
State Board of Addiction Counselor Examiners, Division of Professions & Occupations, Department of Regulatory Agencies
Licensed Professional Counselor
Board of Licensed Professional Counselors, Division of Professions & Occupations, Department of Regulatory Agencies
Registered Pyschotherapist
State Board of Addiction Counselor Examiners, Division of Professions & Occupations, Department of Regulatory Agencies
Behavior Analyst
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Certified Alcohol And Drug Counselor
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Licensed Alcohol And Drug Counselor
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Professional Counselor
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Professional Counselor Associate
Practitioner Licensing & Investigations Section, Health Care Systems Branch, Department of Public Health
Chemical Dependency Professional
Chemical Dependency Professional - License by Reciprocity
PROFESSIONAL COUNSELING
Guidance and Counseling (grades PK-12)
Bureau of Teacher Certification, FL Department of Education
Associate Professional Counselor
Professional Counselor
LICENSED CLINICAL PROFESSIONAL COUNSELOR
Illinois Department of Financial and Professional Regulation
LICENSED PROFESSIONAL COUNSELOR
Illinois Department of Financial and Professional Regulation
Addiction Counselor
Behavioral Health and Human Services Licensing Board, Indiana Professional Licensing Agency
Clinical Addition Counselor
Behavioral Health and Human Services Licensing Board, Indiana Professional Licensing Agency
Addiction Counselor
Behavior Analyst
Professional Counselor
Assitant Behavior Analyst
Kentucky Applied Behavior Analysis Licensing Board, Department of Professional Licensing
Behavior Analyst
Kentucky Applied Behavior Analysis Licensing Board, Department of Professional Licensing
Certified Alcohol and Drug Conselor Associate I
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Certified Alcohol and Drug Counselor
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Certified Alcohol and Drug Counselor Associate II
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Certified Clinical Supervisor
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Licensed Alcohol and Drug Counselor
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Licensed Clinical Alcohol and Drug Counselor
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Licensed Clinical Alcohol and Drug Counselor Associate
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Licensed Pastoral Counselor
Board of Licensure of Pastoral Counselors, Department of Professional Licensing
Licensed Professional Clinical Counselor (LPCC)
Board of Licensed Professional Counselors, Department of Professional Licensing
Licensed Professional Counselor Associate (LPCA)
Board of Licensed Professional Counselors, Department of Professional Licensing
Temporary Behavior Analyst
Kentucky Applied Behavior Analysis Licensing Board, Department of Professional Licensing
Temporary Certified Alcohol and Drug Counselor
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Temporary Licensed Assistant Behavior Analyst
Kentucky Applied Behavior Analysis Licensing Board, Department of Professional Licensing
Temporary Registered Alcohol and Drug Peer Support Specialist
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Temporary Registered Telehealth Health Care Provider - ABA
Kentucky Applied Behavior Analysis Licensing Board, Department of Professional Licensing
Temporary Registered Telehealth Health Care Provider - ADC
Kentucky Board of Alcohol and Drug Counselors, Department of Professional Licensing
Temporary Registered Telehealth Health Care Provider - KLPC
Board of Licensure of Pastoral Counselors, Department of Professional Licensing
Temporary Registered Telehealth Health Care Provider - LPC
Board of Licensed Professional Counselors, Department of Professional Licensing
Substance Abuse Counselor, Board Certified
Louisiana Addictive Disorder Regulatory Authority, Louisiana Department of Health and Hospitals
Alcohol & Drug Certified Clinical Supervisor
Alcohol & Drug Counseling Aide
Alcohol & Drug Counselor (Certified)
Alcohol & Drug Counselor (Licensed)
Counselor, Clinical
Counselor, Clinical (Conditional)
Counselor, Pastoral
Counselor, Pastoral (Conditional)
Counselor, Professional
Counselor, Professional (Conditional)
Counselor, Registered
CHEMICAL DEPENDENCY COUNSELOR
Board of Examiners of Professional Counselors, Maryland State Dept. of Health & Mental Hygiene
COUNSELORS
Board of Examiners of Professional Counselors, Maryland State Dept. of Health & Mental Hygiene
Juvenile Counselor
Certification Unit, Police and Correctional Training Commissions, Dept. of Public Safety & Correctional Services
ALCOHOL AND DRUG COUNSELOR
APPLIED BEHAVIOR ANALYSTS
Division of Professional Licensure, Board of Registration of Allied Mental Health and
Certified Alcohol and Drug Counselor?(C.A.A.D.C.)
Clinical Supervisor, Certified (Addictions) (C.C.S.)
Counselor, Licensed Professional
Bureau of Professional Licensing, Michigan Department of Licensing and Regulatory Affairs
Counselor, Limited Licensed Professional
Bureau of Professional Licensing, Michigan Department of Licensing and Regulatory Affairs
Criminal Justice Professional, Certified (Addictions) (C.C.J.P.)
Prevention Specialist, Certified (C.P.S.)
Alcohol and Drug Counselor (ADC) -Temporary Permits
Licensed Alcohol and Drug Counselor (LADC)
Licensed Professional Clinical Counselor (LPCC)
Licensed Professional Counselor (LPC)
Licensed Professional Counselor
MS State Board of Examiners for Licensed Professional Counselors
Board of Behavioral Health - Addiction Counselor Candidate
Board of Behavioral Health - Licensed Addiction Counselor
Board of Behavioral Health - Licensed Clin Professional
Board of Behavioral Health - Licensed Clin Social Worker
Board of Behavioral Health - Professional Candidate
Alcohol or Drug Counselor
Public Health Division, Licensure Unit, Office of Behavioral Health & Consumer Services, Public Health Division, Licensure Unit, Office of Behavioral Health & Consumer Services, Nebraska Dept. of Health and Human Services
Disordered Gambling Counselor, Certified
Public Health Division, Nebraska Commission on Problem Gamblng
Alcohol and Drug Abuse Counselor
Board of Examiners for Alcohol, Drug and Gambling Counselors
Behavior Analyst and Assistant Behavior Analyst
Clinical Professional Counselor
Board of Examiners for Marriage & Family Therapists, and Clinical Professional Counselors
Problem Gambling Counselor
Board of Examiners for Alcohol, Drug and Gambling Counselors
Alcohol and Drug Counselor
ALCOHOL AND DRUG COUNSELOR
Alcohol and Drug Counselor Committee, Board of Marriage and Family Therapy Examiners
ASSOCIATE COUNSELOR
DIRECTOR OF SCHOOL COUNSELING SERVICES
Office of Licensing and Credentials, Department of Education
PROFESSIONAL COUNSELOR
SUBSTANCE AWARENESS COORDINATOR
Office of Licensing and Credentials, Department of Education
Alcohol and Drug Counselor
Substance Abuse Associate
Certified Behavior Analyst Assistant
State Board for Applied Behavior Analysis, NYS Education Department
Credentialed Alcoholism and Substance Abuse Counselor
NYS Office of Alcoholism and Substance Abuse Services, Credentialing Unit
Credentialed Prevention Professional/Specialist
NYS Office of Alcoholism and Substance Abuse Services, Credentialing Unit
Licensed Behavior Analyst
State Board for Applied Behavior Analysis, NYS Education Department
Assistant Behavior Analyst
NC Behavior Analyst Licensure Board
Behavior Analyst
NC Behavior Analyst Licensure Board
Certified Alcohol and Drug Counselor
Certified Criminal Justice Addictions Professional
Fee-Based Practicing Pastoral Counselor
NC Board of Examiners of Fee-Based Practicing Pastoral Counselors
Fee-Based Practicing Pastoral Counselor Associate
NC Board of Examiners of Fee-Based Practicing Pastoral Counselors
Licensed Clinical Addictions Specialist
Psychiatric Hospital/Operate (Or Substance Abuse Hospital)
Health Service Regulation, NC Department of Health & Human Services
Applied Behavior Analysts
Licensed Addiction Counselors
Licensed Associate Professional Counselors
Licensed Clinical Addiction Counselors
Licensed Master Addiction Counselors
Licensed Professional Counselors
Certified Chemical Dependency Counselor
State Board of Education
Professional Clinical Counselor
Counselor, Social Worker and Marriage and Family Therapist Board of Ohio
Professional Counselor
Counselor, Social Worker and Marriage and Family Therapist Board of Ohio
Certified Alcohol Drug Counselor
Oklahoma State Board of Licensed Alcohol and Drug Counselors
Certified Behavioral Health Case Manager
Oklahoma Department of Mental Health and Substance Abuse Services
Counselor, Licensed Professional
Licensed Alcohol and Drug Counselor/Mental Health (LADC/MH)
Oklahoma State Board of Licensed Alcohol and Drug Counselors
Licensed Alcohol Drug Counselor
Oklahoma State Board of Licensed Alcohol and Drug Counselors
Licensed Behavioral Practitioner
Behavior analysis (behavior analyst, assistant behavior analyst, behavior analysis interventionist)
Oregon Health Authority - Health Licensing Office
Professional Counselor
Professonal Counselor
Office of Regulations & Certification of Health Professionals, Puerto Rico Department of Health
Speech-language Therapist
Behavioral Analyst / Assistant Analyst
Chemical Dependency Clinical Supervisor
Board of Licensing for Chemical Dependency Professionals, RI Department of Health
Chemical Dependency Professional
Board of Licensing for Chemical Dependency Professionals, RI Department of Health
Licensed Professional Counselor
SC Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists
Licensed Professional Counselor - Supervisor
SC Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists
Certified Addiction Counselor (CAC)
South Dakota Board of Addiction and Prevention Professionals
Certified Chemical Dependency Counselor Level I (CCDC I)
South Dakota Board of Addiction and Prevention Professionals
Licensed Addiction Counselor (LAC)
South Dakota Board of Addiction and Prevention Professionals
Licensed Professional Counselor
ALCOHOL AND DRUG ABUSE COUNSELORS
Division of Health Related Boards, Division of Health Related Boards, Department of Health
LICENSED AND CERTIFIED PROFESSIONAL COUNSELORS
Division of Health Related Boards, Division of Health Related Boards, Department of Health
LICENSED ASSISTANT BEHAVIOR ANALYST
Division of Health Related Boards, Division of Health Related Boards, Department of Health
LICENSED BEHAVIOR ANALYST
Division of Health Related Boards, Division of Health Related Boards, Department of Health
COUNSELOR, CHEMICAL DEPENDENCY
Licensing, Credentialing and Regulation, Texas Health and Human Services Commission
COUNSELOR, PROFESSIONAL
SUBSTANCE ABUSE COUNSELOR
Division of Occupational & Professional Licensing, Utah Department of Commerece
Certified Alcohol & Drug Abuse Counselor
Office of Professional Regulation, Vermont Secretary of State
Certified Apprentice Addiction Professional
Office of Professional Regulation, Vermont Secretary of State
Licensed Alcohol & Drug Abuse Counselor
Office of Professional Regulation, Vermont Secretary of State
Psychologist - Doctorate
Psychologist - Master
Assistant Behavior Analyst
Virginia Board of Medicine, Department of Health Professions
Behavior Analyst
Virginia Board of Medicine, Department of Health Professions
Counselor, Certified Substance Abuse
Virginia Board of Counseling, Department of Health Professions
Counselors, Professional
Virginia Board of Counseling, Department of Health Professions
Rehabilitation Provider Certification
Virginia Board of Counseling, Department of Health Professions
Substance Abuse Counseling Assistant Certification
Virginia Board of Counseling, Department of Health Professions
Substance Abuse Treatment Practitioner License
Virginia Board of Counseling, Department of Health Professions
Chemical Dependency Professional
Counselor
Licensed behavior analyst
Licensed Professional Counselor (LPC)
BEHAVIOR ANALYST
Division of Professional Credential Processing, WI Department of Safety and Professional Services
CLINICAL SUBSTANCE ABUSE COUNSELOR
Division of Professional Credential Processing, WI Department of Safety and Professional Services
COUNSELOR, PROFESSIONAL
Division of Professional Credential Processing, WI Department of Safety and Professional Services
SUBSTANCE ABUSE COUNSELOR
Division of Professional Credential Processing, WI Department of Safety and Professional Services
SUBSTANCE ABUSE COUNSELOR IN TRAINING
Division of Professional Credential Processing, WI Department of Safety and Professional Services
ADDICTIONS THERAPIST
CERTIFIED ADDICTIONS PRACTITIONER
CERTIFIED ADDICTIONS PRACTITIONER ASSISTANT
PROFESSIONAL COUNSELOR
Data from CareerOneStop, sponsored by the U.S. Department of Labor (Employment and Training Administration, with the Minnesota Department of Employment and Economic Development). Retrieved November 9, 2026.
Your plan
Courses, majors, colleges, scholarships and a timeline for this career, built from your profile.
Written with AI from the BLS, O*NET and CareerOneStop data on this page. Every figure is checked against that data before it is published.
People in this field are known by many names, including addiction recovery specialists, behavior therapists, and alcohol and drug counselors. They may also be called addiction therapists or certified alcohol and drug counselors.
This career strongly appeals to individuals with social interests who enjoy helping and teaching others. Key work styles for success include dependability, integrity, cooperation, optimism, and a strong social orientation.
Related professions include mental health and substance abuse social workers, marriage and family therapists, and clinical and counseling psychologists. Other similar roles are rehabilitation counselors and healthcare social workers.
Every figure on this page comes from these public datasets. Missing values are shown as not reported, never estimated.
Version 31.0
Version 2025-35 · Data year 2025
Version 2025 · Data year 2025
Version 2020 · Data year 2020
O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. CollegesRef has modified all or some of this information.
Data from CareerOneStop, sponsored by the U.S. Department of Labor (Employment and Training Administration, with the Minnesota Department of Employment and Economic Development). Retrieved November 9, 2026.
Page data updated November 6, 2026.