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Mayo Clinic
Fairmont, Minnesota

Licensed Alcohol and Drug Counselor I

Addiction CounselorFull-Time

Listed compensation

$27.99-$41.98/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 49m ago · Verified live

Job Description

The Counselor is accountable for providing patients and their families with the accurate diagnosis, appropriate assessment, therapy, counseling, and assistance; maintaining good relationships with patients, patients' families, medical staff, and other personnel within the medical complex and with outside organizations with whom the counselor is in contact; maintaining confidentiality of patient information; establishing an effective working relationship with other treatment team members; accurate documentation in the progress notes and treatment plan.

*This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

Qualifications

Bachelor's degree from an accredited school or educational program required.

Counselors providing adolescent services and family counselors must meet training requirements or training will be provided. Knowledge of substance use disorder and 12 Step recovery philosophies. Experience providing counseling services to patients preferred.

Licensure or Certification

  • Licensed Alcohol and Drug Counselor (LADC) in State of Minnesota is required.
  • Fountain Centers requires current driver’s license, but Mayo Clinic Rochester does not.
  • Fountain Centers staff must be able to complete and pass BLS and First aid training within 90 days of hire.

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights

  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.

Just as our reputation has spread beyond our Minnesota roots, so have our locations.

Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations.

Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Key Responsibilities

The counselor is responsible for providing accurate diagnosis, assessment, and therapy to patients and their families. They must also maintain effective relationships with the treatment team and ensure accurate documentation of progress notes and treatment plans.

Qualifications

Education
Bachelor degree

Key Skills

Substance use disorder counselingPatient assessmentTreatment planningProgress notes documentationClinical documentation

Substance Abuse Counseling — Counselor Career Context

The cost-of-living index for Minnesota is 98.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$73k midpoint carries the purchasing power of roughly $74k in an average-cost state. 63.4% of Minnesota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Substance Abuse Counseling listings this role was benchmarked against, 64% are remote, 20% have no call, 66% require no weekends.

What does the Substance Abuse Counseling market look like in Minnesota?
MeasureThis jobMarket
Listed pay$58k–$87kSubstance Abuse Counseling median $68k (middle half $67k–$71k)23 comparable listings, Nov 2026
Cost-of-living adjusted pay~$74k in purchasing powerMinnesota index 98.6 (US = 100)BEA Regional Price Parities (2024)
Work settingon-sitepeers: 64% remote · 20% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedMinnesota counselor listings (all specialties): 16% state a sign-on bonus (median $2k) · 28% offer loan repayment239 active listings, Nov 2026
New Substance Abuse Counseling listings14 in the last 30 days26 the 30 days before (−46%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

39 matches · ranked by pay

Salary Distribution

39 jobs · 23 employers
9
<$90k
8
$90k-110k
15
$110k-130k
6
$130k-150k
1
$155k

Annual compensation range

Benefits & Perks

34 jobs · 23 employers
401k / retirement match
91% this job
Sign-on bonus
32%
CME allowance
26% this job
Loan repayment
21%
PSLF eligible
12%

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#3

Licensed Marriage and Family Therapist (LMFT)

$123k-$141k
#4

Licensed Mental Health Therapist (LMFT, LCSW, LPCC)

$117k-$134k
+ 37 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Below most Substance Abuse Counseling listings for work-life

Listing-based score, 0–10, across 59 comparable listings. Shaded area = the share scoring below this one.

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About Mayo Clinic

Hospitals and Health Care
Rochester, Minnesota
10,000+ employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
HSA
FSA
Retirement Plan
Continuing Education
Advancement Opportunities

Living in Fairmont

Typical 3-bedroom home value
$182k
Median resident rent
$738/mo
Residents’ average commute
13 min
State income tax
Up to 9.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.