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2023 Best Online Substance Abuse Counseling Degrees in North Carolina

By OnlineU Staff Writers | Updated 10/18/2023

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Our list highlights North Carolina's online substance use counseling degrees across all available program levels — from certificates to the undergraduate level. Whether you are already working in the field and want to expand your knowledge or are a current student interested in pursuing credentials, earning a certificate or a bachelor's degree in substance use counseling in North Carolina can help you acieve your goals. Alternatively, you may want to explore our list of the most affordable online substance use counseling programs overall if you are on a budget. 

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East Carolina University

  • Locations: Greenville
  • Annual Tuition: $23,574

East Carolina University (ECU) is a large, public institution that offers an online certificate in addictions counseling.

  • The Addictions Prevention and Treatment Studies Certificate consists of 12 semester hours, and students can finish in less than a year. Some courses include Foundations of Addictions & Clinical Counseling; Alcohol, Tobacco, & Other Drug Education & Prevention; and Contemporary Alcohol/Drug Issues. This program meets partial academic requirements for the North Carolina Certified Alcohol and Drug Counselor credential, but students still need to meet the other requirements on their own.

At ECU, students use Canvas to access their coursework, which is entirely online. Most coursework is fully remote, but some classes may have scheduled live sessions. Online students have access to the university library, tutoring services, and academic advising.

  • Financial Aid Recipients: 80%
  • Avg. Aid Package: $7,761
  • Repayment Rate: 93%
  • Acceptance Rate: 79%
  • Avg. Graduation Rate: 66%
  • Retention Rate: 81%
  • Recommend Rate: 92%
  • School Type: Nonprofit (Public)
  • Undergraduate Online: 4,719 enrolled
  • Graduate Online: 3,499 enrolled
  • Certificate Online: 1,042 enrolled

University of North Carolina at Pembroke

  • Locations: Pembroke
  • Annual Tuition: $7,495

The University of North Carolina at Pembroke (UNCP) is a public, Native American Non-Tribal Institution, which offers an online graduate certificate in addictions counseling.

  • The Graduate Certificate in Addictions Counseling requires 12 credit hours, and includes courses such as Issues in Addictions for Counselors, Contemporary Issues & Special Population in Addiction, and The Family & Addiction — along with 300 clock hours at an approved field placement site. This program meets the North Carolina Addictions Specialists Professional Practice Board educational requirements for the Licensed Clinical Addictions Specialist application. Graduates often work in addiction specific professional counseling careers, leadership roles, and advocacy positions in the field.

At UNCP, students use the software Canvas to access their coursework, which is 100% online. Distance learners have access to the university library, tutoring services, and academic advising.

  • Financial Aid Recipients: 91%
  • Avg. Aid Package: $6,136
  • Repayment Rate: 84%
  • Acceptance Rate: 81%
  • Avg. Graduation Rate: 43%
  • Retention Rate: 73%
  • Recommend Rate: 83%
  • School Type: Nonprofit (Public)
  • Undergraduate Online: 2,253 enrolled
  • Graduate Online: 1,562 enrolled
  • Certificate Online: 120 enrolled

Asheville-Buncombe Technical Community College

  • Locations: Asheville (and 2 others)
  • Annual Tuition: $8,776

Asheville - Buncombe Technical Community College (A-B Tech) is a medium-sized, public institution that offers the following certificate program in counseling.

  • The Human Services & Substance Abuse Studies Certificate requires 17 credit hours and students may complete it in just three semesters. Courses include Developmental Disabilities, Addiction & Recovery Counseling, and Pharmacology, among others. This program is made for individuals already working in the field, individuals who want to obtain or renew credentialing through the North Carolina Substance Abuse Professional Practice Board, and/or students working toward a human services degree.

At A-B Tech, students use Moodle to access their coursework, which is entirely online. Online students have access to the university library, tutoring services, and academic advising.

  • Financial Aid Recipients: 64%
  • Avg. Aid Package: $5,269
  • Repayment Rate: 82%
  • Acceptance Rate: N/A
  • Avg. Graduation Rate: 33%
  • Retention Rate: 60%
  • Recommend Rate: 100%
  • School Type: Nonprofit (Public)
  • Undergraduate Online: 2,016 enrolled
  • Graduate Online: N/A
  • Certificate Online: 665 enrolled

Davidson-Davie County Community College

  • Locations: Thomasville (and 1 other)
  • Annual Tuition: $6,586

Davidson-Davie County Community College (DDCC) is a medium-sized, public institution that offers the following addiction counseling certificate online.

  • The Human Services Certificate - Addiction and Recovery Studies is a program that requires 18 credit hours and takes less than a year to complete. Students take courses — like Conflict Resolution, Addictive Behaviors, and Co-Dependency — to prepare for entry-level positions in organizations that provide social, community, and educational services.

At DDCC, students use Moodle to access their coursework, which is entirely online. Distance learners can access the university library, tutoring services, and academic advising.

  • Financial Aid Recipients: 70%
  • Avg. Aid Package: $7,750
  • Repayment Rate: 78%
  • Acceptance Rate: N/A
  • Avg. Graduation Rate: 30%
  • Retention Rate: 65%
  • Recommend Rate: N/A
  • School Type: Nonprofit (Public)
  • Undergraduate Online: 1,180 enrolled
  • Graduate Online: N/A
  • Certificate Online: 336 enrolled

Gardner Webb University

  • Locations: Boiling Springs
  • Annual Tuition: $32,200

Gardner Webb University (GWU) is a small, private, Southern Baptist institution that offers an online counseling degree at the bachelor's level.

  • The Bachelor of Science in Human Services - Substance Use and Abuse (Degree Completion) requires 39 credit hours, and applicants should already have an associate degree. The curriculum includes the following courses: General Psychology, Ethical Issues in Human Services, and The Human Service Profession, among others. Graduates often work in geriatric care, group rehabilitation, social services, drug and alcohol rehabilitation, and nonprofit institutions.

At GWU students use the digital platform Blackboard to access their classes online. Some of these are scheduled live classes. Online students have access to the university library, tutoring services, academic advising, and more.

  • Financial Aid Recipients: 100%
  • Avg. Aid Package: $24,687
  • Repayment Rate: 90%
  • Acceptance Rate: 53%
  • Avg. Graduation Rate: 45%
  • Retention Rate: 59%
  • Recommend Rate: 93%
  • School Type: Nonprofit (Private)
  • Undergraduate Online: 532 enrolled
  • Graduate Online: 274 enrolled
  • Certificate Online: N/A

Montreat College

  • Locations: Montreat
  • Annual Tuition: $29,462

Montreat College is a small, private, nonprofit, and Interdenominational institution where prospective students can pursue an online master’s in substance use counseling.

  • The Master of Science in Counseling Psychology with Substance Abuse and Addiction Counseling equals 48 credit hours. This degree program delivers a Christian-based approach to help students learn the best practices of substance use counseling. Some of the program’s courses are Theories in Counseling, Family Systems Theories, and Spirituality and Religion in Counseling. Students must also complete an internship to graduate. Prospective careers for graduates of this program include community health workers, behavioral counselors, and youth counselors.

Montreat College utilizes a learning management system to deliver asynchronous and synchronous online courses. Resources for online students at Montreat College include academic coaching, peer tutoring, a writing center, academic advising, counseling, and disability services.

  • Financial Aid Recipients: 100%
  • Avg. Aid Package: $18,697
  • Repayment Rate: N/A
  • Acceptance Rate: 65%
  • Avg. Graduation Rate: 29%
  • Retention Rate: 77%
  • Recommend Rate: 100%
  • School Type: Nonprofit (Private)
  • Undergraduate Online: 154 enrolled
  • Graduate Online: 89 enrolled
  • Certificate Online: N/A
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Overview of Substance Abuse Counseling in North Carolina

Earlier this year, North Carolina's Governor Roy Cooper released a comprehensive plan to address the state's mental health and substance use crisis, as evidenced in part by a 72% increase in overdose deaths. The plan details the investment of $1 billion in three key areas: making behavioral health services more available, building a stronger system of healthcare services, and using data and technology to track outcomes and enable improvements to the plan.

Among the specific actions outlined in the governor's plan is the creation of more inpatient, outpatient, and drop-in clinics focused on treating substance use disorder. The plan calls for expanding the workforce, particularly with professionals trained to provide substance use counseling in North Carolina.

Start your search for online counseling bachelor's programs with our lists of the best online substance abuse counseling degrees, the most affordable online substance abuse counseling degrees, and the best online counseling degrees.

FAQs About Substance Use Counseling Degrees in North Carolina

What Can You Do With a Substance Use Counselor Degree in North Carolina?


In North Carolina, one of the most popular career paths for graduates of in-person or online substance abuse counseling degree programs is to become a substance use counselor. In this role, you'll work directly with clients, assessing their circumstances, developing treatment plans, and providing counseling and education. Although you don't need a degree to become a Certified Alcohol and Drug Counselor (CADC), a bachelor's in substance abuse counseling may qualify you for higher-paying positions in the future. To work as a Licensed Clinical Addiction Specialist (LCAS), you'll need a master's degree or doctorate in addiction counseling.

A bachelor's degree in substance abuse counseling also qualifies you for nonclinical roles. For example, as an employee of a government agency or nonprofit organization focused on substance use disorder, you may be tasked with creating public education campaigns, overseeing treatment programs, or fundraising. After several years of experience, you may qualify for more advanced managerial roles.

How Do I Become a Substance Use Counselor in North Carolina?


If you live in North Carolina and you want to become a substance use counselor, you'll need to apply for licensure through the North Carolina Addictions Specialist Professional Practice Board (NCASPPB). The board has established two possible levels of substance abuse counseling certification — the Certified Alcohol and Drug Counselor (CADC) and the more advanced Licensed Clinical Addiction Specialist (LCAS).

CADC certification is designed for those who have earned a high school diploma, associate degree, or bachelor's degree in addiction counseling. Regardless of degree, CADC candidates must complete 270 hours — about 18 courses — of college education on substance abuse counseling. Once certified, CADCs are allowed to perform the 12 core functions of a counselor, such as screening, assessment, treatment planning, and crisis intervention. However, they are only allowed to work under the supervision of board-approved LCASs.

The first step in becoming a CADC is to register with the state board. You then have up to 10 years to complete 6,000 hours of work experience in clinical counseling, 300 hours of which must be supervised. You must then pass the ADC Exam sponsored by the International Certification and Reciprocity Consortium (IC&RC).

The LCAS certification requires an advanced degree — about 12 college courses on substance abuse counseling — and allows counselors to practice independently. LCAS candidates follow a similar process involving registration after earning a degree, the completion of 4,000 hours of clinical work experience, and the completion of 300 hours of supervised work experience within a maximum of five years. Finally, candidates must earn a passing score on the IC&RC AADC Exam.

Both credentials are valid for two years. However, CADCs must complete 60 hours of continuing education to renew their license, while LCASs need only 40 hours of training.

Does North Carolina Have Reciprocity for Substance Use Counselors?


Yes, North Carolina offers reciprocity for substance use counselors who are certified by the IC&RC in other states. Licensed counselors in good standing who want to offer in-person, telephone, or online substance abuse counseling in the state can contact their local credentialing board to initiate the reciprocity process. They will also need to submit an application and required documentation to the NCASPPB.

How Much Does A Substance Abuse Counselor Make in North Carolina?


A specific salary range for substance abuse counselors in North Carolina is not available, but the Bureau of Labor Statistics (BLS) provides some relevant information for all substance abuse, behavioral disorder, and mental health counselors in this state. According to the BLS, these professionals earn a mean annual salary of $55,530. Currently, there are about 9,000 counselors working in the Tar Heel State, but the number of substance abuse counseling jobs in North Carolina is projected to increase by 23.9% through the end of the decade, according to ProjectionsCentral.

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