Substance Abuse Counselor Jobs in North Carolina
33 live substance abuse counselor listings in North Carolina from 4 employers — Monarch has the most openings with 14.
Substance Use Counselor
Acadia Healthcare
Substance Use Counselor
Acadia Healthcare
Telehealth Counselor – Licensed Clinical Addictions Specialist
Pyramid Healthcare
ACTT Substance Abuse Professional II
Monarch
Substance Use Counselor
Acadia Healthcare
Substance Abuse Counselor, QMHP and LCASA / LCAS
Monarch
Substance Abuse Counselor, QMHP and LCASA / LCAS
Monarch
Substance Use Counselor
Acadia Healthcare
Substance Use Counselor
Acadia Healthcare
Substance Abuse Counselor, Certified or Licensed and QMHP (Non Exempt)
Monarch
Substance Use Counselor
Acadia Healthcare
Certified Alcohol and Drug Counselor / CADC
Monarch
Licensed Clinical Addiction Specialist II, Behavioral Health Urgent Care, Non-Exempt
Monarch
Licensed or Certified Substance Abuse Counselor
Monarch
Licensed Substance Abuse Counselor, LCASA / LCAS
Monarch
Substance Use Counselor
Acadia Healthcare
ACTT Substance Abuse Professional II
Monarch
Licensed Substance Abuse Counselor / LCASA or LCAS -- Child and Adolescent Services
Monarch
Certified Alcohol and Drug Counselor (CADC) -- Provide Recovery Support
Monarch
Licensed or Certified Substance Abuse Counselor -- Community Support Team
Monarch
Hiring a substance abuse counselor in North Carolina? Reach qualified candidates across the state with BehavioralHires.
Post a Job →Substance Abuse Counselor Salary in the U.S.
National figures for substance abuse counselors — this page shows the national estimate because no North Carolina figure is available for this role.
Source: Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 release. SOC 21-1018 is a combined occupation — substance abuse, behavioral disorder, and mental health counselors — and there is no separate federal wage series for substance abuse counselors.
Who’s Hiring Substance Abuse Counselors in North Carolina
4 employers have 33 open substance abuse counselor roles in North Carolina, led by Monarch with 14 openings.
Substance Abuse Counselor Jobs by City in North Carolina
About This Role
A substance abuse counselor treats substance use disorders across detox, residential, and outpatient levels of care.
Clinics, treatment centers, and hospital systems across North Carolina hire for this role — the listings above are the live openings on BehavioralHires right now.
Substance Abuse Counselor Career Resources
More Substance Abuse Counselor Resources
Frequently Asked Questions
01How many substance abuse counselor jobs are open in North Carolina right now?
As of October 2026, BehavioralHires is showing 33 live substance abuse counselor openings in North Carolina. They come from 4 employers. The listings at the top of this page are that feed.
02What does a substance abuse counselor earn in the U.S.?
Nationally, the occupation that counts substance abuse counselors reports a median of $59,350 a year (Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 release. SOC 21-1018 is a combined occupation — substance abuse, behavioral disorder, and mental health counselors — and there is no separate federal wage series for substance abuse counselors.).
03Which employers are hiring substance abuse counselors in North Carolina?
The North Carolina listings currently come from 4 employers, including Monarch (14), Pyramid Healthcare (9), and Acadia Healthcare (7). 1 other employer has openings too.
04Which North Carolina cities have the most substance abuse counselors openings?
Across the North Carolina listings on this page, the cities with the most open roles are Winston-Salem (4) and Charlotte (2).