State-by-State Variation in the Credentialing, Training, Supervision, and Medicaid Reimbursement of the High-School, Associates, and Bachelor’s-Level Addiction Counselor Workforce

In 2023, nearly 25% of the US population aged 12 or older used illicit drugs, and over 17% met the criteria for a substance use disorder (SUD), with synthetic opioids and excessive alcohol use driving a sharp rise in drug-related deaths. Despite the growing need for SUD treatment, significant access gaps remain—especially for individuals from…

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