How to Become a Substance Abuse Counselor in North Carolina: Salary & Requirements (2026)
Quick answer: The median substance abuse counselor salary in North Carolina is $55,490 per year - 7% below the national median of $59,350 (BLS OEWS, May 2025). The career requires a 4-year degree: Bachelor’s in addiction counseling, psychology, or human services.
Substance Abuse Counselor Salary in North Carolina
| Wage level | Annual salary |
|---|---|
| North Carolina entry level (10th percentile) | $37,440 |
| North Carolina 25th-75th percentile | $45,100 - $68,610 |
| North Carolina median | $55,490 |
| North Carolina top earners (90th percentile) | $86,010 |
| U.S. median | $59,350 |
Source: BLS OEWS, May 2025. State employment: 10,300.
The North Carolina Job Market: Substance Abuse Counselor
| Metric | Value |
|---|---|
| Employed in North Carolina | 10,300 |
| Jobs per 1,000 in the state | 2.08 |
| Concentration vs U.S. (location quotient) | 0.66 |
| Mean annual wage in North Carolina | $59,160 |
Source: BLS OEWS, May 2025. With a location quotient of 0.66, North Carolina employs substance abuse counselors at a lower concentration than the national average; expect fewer openings per capita and weigh relocation or remote-friendly specialties.
Requirements in North Carolina
The education path is national - Bachelor’s in addiction counseling, psychology, or human services - while licensing runs through North Carolina’s own boards: State licensure/certification required (LCDC/CADC tiers vary by state). Verify current requirements with the North Carolina licensing authority before enrolling, as details change. The step-by-step path (degree, exams, first role, advancement) is covered in the national guide: How to Become a Substance Abuse Counselor.
Salary Nationwide
| Percentile | Annual wage |
|---|---|
| 10th | $38,940 |
| 25th | $47,100 |
| 50th (median) | $59,350 |
| 75th | $76,530 |
| 90th | $97,590 |
Job Outlook
| Year | Employment |
|---|---|
| 2024 | 483,500 |
| 2034 projected | 564,600 |
| Percent change | +16.8% |
Frequently Asked Questions
How much does a substance abuse counselor make in North Carolina?
The median annual wage for substance abuse, behavioral disorder, and mental health counselors in North Carolina is $55,490 (BLS OEWS, May 2025), 7% below the national median of $59,350.
How do I become a substance abuse counselor in North Carolina?
The core path is the same nationwide - Bachelor's in addiction counseling, psychology, or human services - with licensing administered at the state level: State licensure/certification required (LCDC/CADC tiers vary by state). See the steps below.
How many substance abuse counselors work in North Carolina?
BLS counts about 10,300 substance abuse, behavioral disorder, and mental health counselors employed in North Carolina (BLS OEWS, May 2025).
Substance Abuse Counselor in Nearby States
- Substance Abuse Counselor in New Mexico
- Substance Abuse Counselor in New York
- Substance Abuse Counselor in North Dakota
- Substance Abuse Counselor in Ohio
Related
- How to Become a Substance Abuse Counselor (national guide)
- All Trade Careers That Require a 4-Year Degree
Sources
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 - Substance Abuse, Behavioral Disorder, and Mental Health Counselors (SOC 21-1018), North Carolina and national
- U.S. Bureau of Labor Statistics, Employment Projections, 2024-34
About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.
Data sources
Figures on this page are sourced from the federal and state datasets below. Methodology: how we rank and source data.
| Data | Provider | Vintage |
|---|---|---|
| Occupational Employment and Wage Statistics (OEWS) | U.S. Bureau of Labor Statistics | May 2025 |
| Employment Projections | U.S. Bureau of Labor Statistics | 2024-2034 |
| Integrated Postsecondary Education Data System | National Center for Education Statistics (IPEDS) | 2024 |
| College Scorecard (school-level outcomes) | U.S. Department of Education | latest release |
| College Scorecard (field-of-study earnings) | U.S. Department of Education | latest release (updated 2026-06-12) |
| Occupational licensing requirements | CareerOneStop (U.S. Department of Labor) | latest release (updated 2026-02-22) |
| Registered apprenticeship programs | CareerOneStop / Apprenticeship.gov (U.S. Department of Labor) | latest release (updated 2025-10-25) |
| O*NET occupation profiles (skills, tasks, tools, job zones) | U.S. Department of Labor (O*NET / Employment & Training Admin.) | O*NET 29.1 (updated 2026-06-13) |