77/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 31 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Best Addiction Counselors in San Francisco, CA (2026)
101 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in San Francisco: Alta Mira Recovery, RP Score 77/100; 4.3★ from 31 Google reviews; open 7 days a week.
- 10
Most-reviewed: Silicon Valley Recovery, 129 Google reviews at 5.0★, the most of 101 ranked; ranked #10.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
101 San Francisco addiction counselors are ranked here by RP Score, from eight published factors. 44 open Saturdays and 36 open Sundays, based on posted hours. The median Google rating is 4.2★ across 101 rated practices.
Top 10 addiction counselors in San Francisco at a glance
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Alta Mira Recovery | 77 | 4.3★ (31) | San Rafael, 7 mi away | Sat · Sun · Evenings | Overall |
| 2 | Walden House | 75 | 4.1★ (13) | San Francisco | Sat · Sun | — |
| 3 | Jelani the Family Program | 73 | 3.0★ (4) | San Francisco | — | — |
| 4 | Creekside Recovery | 73 | 5.0★ (9) | Orinda, 15 mi away | Sat · Sun · Evenings | — |
| 5 | Chicago Recovery Alliance | 72 | 4.8★ (24) | Redwood City, 22 mi away | Sat · Sun · Evenings | — |
| 6 | Pueblos del Sol - Addiction Treatment – A Bi-Bett Program | 72 | 4.7★ (34) | Concord, 25 mi away | Sat · Sun · Evenings | — |
| 7 | Horizon Services, Inc. - Cronin House | 72 | 4.0★ (19) | Hayward, 19 mi away | Sat · Sun · Evenings | — |
| 8 | New Life Recovery Centers | 69 | 5.0★ (100) | San Jose, 42 mi away | Sat · Sun · Evenings | — |
| 9 | HealthRIGHT 360 | 69 | 3.7★ (93) | San Francisco | — | — |
| 10 | Silicon Valley Recovery | 69 | 5.0★ (129) | San Jose, 44 mi away | Sat · Sun · Evenings | Most reviews |
The 101 best addiction counselors in San Francisco, ranked
Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
#2 Walden House
Based in San Francisco
75/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 13 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Francisco
73/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Alcoholism treatment program”, 3.0★ from 4 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Orinda, 15 mi away
73/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 9 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Redwood City, 22 mi away
72/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.8★ from 24 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Concord, 25 mi away
72/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 34 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hayward, 19 mi away
72/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Alcoholism treatment program”, 4.0★ from 19 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Jose, 42 mi away
69/100RP ScoreRanked #8 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 100 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Francisco
69/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 93 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Jose, 44 mi away
69/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 129 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Rafael, 15 mi away
69/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 15 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
#12 Haart-Hayward
Based in Hayward, 18 mi away
69/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 24 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Leandro, 17 mi away
69/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Alcoholism treatment program”, 4.2★ from 11 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in East Palo Alto, 26 mi away
69/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.2★ from 5 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#15 Center Point Inc
Based in San Rafael, 15 mi away
68/100RP ScoreRanked #15 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.0★ from 9 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Francisco
68/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 7 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hayward, 23 mi away
67/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.3★ from 87 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Petaluma, 32 mi away
67/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Antioch, 37 mi away
66/100RP ScoreRanked #19 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 71 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Walnut Creek, 20 mi away
64/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 2.3★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Vallejo, 26 mi away
64/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 27 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Francisco
64/100RP ScoreRanked #22 because of its Google rating and proximity: 4.3★ from 64 Google reviews, based in San Francisco.
Based on 7 of 8 factors; recency not yet collected.
Based in Menlo Park, 26 mi away
63/100RP ScoreRanked #23 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.6★ from 28 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Dublin, 28 mi away
63/100RP ScoreRanked #24 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 16 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#25 Bayside Marin
Based in San Rafael, 15 mi away
61/100RP ScoreRanked #25 because of its Google rating and specialty focus: 4.1★ from 84 Google reviews, listed on Google as “Mental health service”.
Based on 7 of 8 factors; recency not yet collected.
Addiction counselors ranked #26 to #50
#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 101 ranked addiction counselors here; the rest are on their profiles.
Also serving San Francisco
20 more addiction counselors within 50 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.
How we ranked San Francisco addiction counselors
We scored 101 San Francisco addiction counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.
Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.
| Factor | Weight | Computed from | In San Francisco data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose an addiction counselor
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure addiction counseling is a regular part of their work, and ask what approach they use and why.
- Ask which credential the counselor holds (for example a state addiction counselor certification, LPC or LCSW).
- Ask whether they work with a physician if medication for addiction treatment is part of your plan.
- Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.
Questions to ask an addiction counselor
- Are you accepting new clients, and how soon could I start?
- Which license do you hold, and in which state or province?
- How much of your work is addiction counseling?
- Do you offer individual sessions, groups or an intensive outpatient program?
- What do you charge per session, and do you take my insurance or provide a superbill?
- Do you offer online sessions?
- What is your cancellation policy?
- What do you keep confidential, and when would you have to share information?
Terms explained
- PhD / PsyD
- Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
- Licensed psychologist
- A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
- Psychological associate
- In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
- LPC / LMHC / LCPC
- US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
- LCSW
- Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
- LMFT
- Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
- RP / RCC
- Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
- PSYPACT
- An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
- Telehealth
- Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
- CBT
- Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
- DBT
- Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
- ERP
- Exposure and response prevention: a form of CBT used for OCD.
Addiction counselors in San Francisco: frequently asked questions
Who is the best addiction counselor in San Francisco?
By RP Score, the highest-ranked addiction counselor in San Francisco, CA is Alta Mira Recovery with an RP Score of 77/100. It has 4.3★ from 31 Google reviews. It is open 7 days a week. Walden House (#2) and Jelani the Family Program (#3) follow. We ranked 101 addiction counselors on eight factors, last updated November 9, 2026.
How many addiction counselors are there in San Francisco?
RankedPsychologists ranks 101 addiction counselors serving San Francisco, CA. 12 of them are based in San Francisco; the rest serve it from nearby towns. Another 20 within 50 mi are listed but not ranked yet. Counts are as of November 2026.
What should I do if I need help right now?
In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.
Which addiction counselors in San Francisco work on weekends?
44 of 101 ranked addiction counselors post Saturday hours and 36 post Sunday hours. The highest-ranked open Saturdays are Alta Mira Recovery (#1), Walden House (#2) and Creekside Recovery (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do San Francisco addiction counselors have?
The median Google rating among 101 rated addiction counselors in San Francisco is 4.2★, with a median of 11 reviews. Silicon Valley Recovery has the most, 129 reviews, and ranks #10. We adjust ratings for review count, so a few five-star reviews cannot top the list.
How does RankedPsychologists rank addiction counselors?
Each addiction counselor gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.
Do addiction counselors outside San Francisco count in this ranking?
Yes, if they are within 50 mi of the San Francisco city center, our service radius for addiction counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.
Can addiction counselors pay to rank higher on RankedPsychologists?
No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.
How are addiction counselors in San Francisco ranked?
Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on addiction counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.
What is the difference between outpatient addiction counseling and rehab?
Outpatient counseling means regular sessions while you live at home and keep working; intensive outpatient programs meet several times a week. Residential rehab and medical detox happen in a facility. Withdrawal from alcohol and some drugs can be medically dangerous, so speak to a doctor before stopping if you drink or use heavily every day.
Can I see an addiction counselor online?
Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.
What if I need help right now?
Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.
Update log for San Francisco
- November 2026: RP Scores recalculated for 101 addiction counselors serving San Francisco.
More addiction counselors and San Francisco pages
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