Best Marriage & Family Therapy (MFT) Degree Programs in North Carolina 2025
North Carolina offers a variety of COAMFTE-accredited and regionally approved Marriage and Family Therapy (MFT) programs, providing students with a strong foundation in clinical practice, research, and licensure preparation. As the state’s mental health sector continues to expand, LMFTs are in demand across private practices, healthcare organizations, and community-based mental health programs.
In this guide
2025 Best Marriage & Family Therapy (MFT) Programs in North Carolina
Looking for the best Marriage & Family Therapy (MFT) programs in North Carolina? At marriagefamilytherapist.org, we've ranked the top options to help you find the right fit. Our list focuses on quality, affordability, and student support. We want to make your search easier. Check out our rankings to see which programs stand out. Learn more about how we rank these programs here.
Appalachian State University
Boone, NC - Public 4-Year - appstate.edu
Master's - Marriage and Family Therapy: Master of Arts (MA)
Campus Based - Visit Website
Appalachian State University offers a Master of Arts in Marriage and Family Therapy, a COAMFTE-accredited program designed to equip students with the skills to address complex family dynamics through systemic therapy. The 51-semester-hour curriculum blends theoretical knowledge with practical, in-person clinical training, preparing graduates for licensure and professional practice. Unique features include a GRE waiver option, an addictions counseling certificate, and a pathway to LCAS certification. With a focus on diversity and clinical excellence, the program sets a February 1, 2024, deadline for fall admissions, emphasizing a holistic approach to family therapy.
- 51 semester hours required
- COAMFTE accredited program
- Fall 2024 admission deadline Feb 1
- In-person clinical training
- GRE waiver available
- Optional Addictions Counseling Certificate
- LCAS certification pathway
- Professional licensure preparation
East Carolina University
Greenville, NC - Public 4-Year - ecu.edu
Master's - Marriage and Family Therapy, MS
Campus Based - Visit Website
East Carolina University offers a Master's in Marriage and Family Therapy (MS) that stands out for its COAMFTE accreditation since 1992. This full-time, two-year program requires 51 semester hours and provides students with hands-on clinical experience at the ECU Family Therapy Clinic. The curriculum focuses on systems theory and diverse clinical techniques, preparing graduates to support individuals, couples, and families effectively. Notably, the program does not require a thesis, offers an optional Medical Family Therapy Certificate, and necessitates three recommendation letters and a statement of purpose for admission.
- 51 semester hours total
- Full-time, two-year program
- COAMFTE accredited since 1992
- On-campus face-to-face format
- Clinical experience at ECU clinic
- 9 semester hours clinical placement
- No thesis required
- Optional Medical Family Therapy Certificate
- Three recommendation letters needed
- Statement of purpose required
Master's - Marriage and Family Therapy, MS
Concentration: Medical Family Therapy Certificate - Campus Based - Visit Website
East Carolina University's Master's in Marriage and Family Therapy with a concentration in Medical Family Therapy Certificate is a COAMFTE-accredited program designed for aspiring therapists. Spanning two years and requiring 51 semester hours, it combines rigorous coursework with practical training at the ECU Family Therapy Clinic. This program emphasizes the integration of theoretical knowledge with clinical practice, offering a unique focus on medical family therapy. Admission requirements include three recommendation letters and a statement of purpose, with no thesis required. Graduates are well-equipped to address the complex needs of individuals, couples, and families in therapeutic settings.
- COAMFTE accredited since 1992
- Two-year full-time program
- 51 semester hours required
- On-campus face-to-face format
- 9 semester hours clinical experience
- ECU Family Therapy Clinic training
- Three recommendation letters needed
- Statement of purpose required
- No thesis mandatory
- Medical Family Therapy Certificate available
Montreat College
Montreat, NC - Private 4-year - montreat.edu
Master's - Master of Science in Counseling Psychology: Marriage and Family Therapy
Online Learning - Visit Website
Montreat College offers an online Master of Science in Counseling Psychology with a focus on Marriage and Family Therapy, blending clinical expertise with Christian values. This 54 to 60-credit program is tailored for those aiming to make a significant impact in therapeutic settings, providing the flexibility of eight-week courses and multiple start dates. It's designed to meet licensure requirements, emphasizing systemic care and faith integration. With a 3.0 GPA prerequisite, the program stands out for its commitment to preparing graduates for the growing demand in mental health services, evidenced by a 21.7% job growth projection and competitive regional salaries.
- Online graduate degree program
- 54-60 credit hours total
- 8-week course sessions
- 3.0 minimum GPA required
- Christian faith integration
- Licensed MFT preparation
- Full-time: 6 credit hours/semester
- Optional 60-credit licensure track
- National background check required
- Multiple start dates annually
Other MFT Programs Available in North Carolina
North Carolina has several COAMFTE-accredited and regionally approved MFT programs, ensuring students receive high-quality academic training that meets state licensing requirements.
Top Accredited MFT Programs in North Carolina
University of North Carolina at Greensboro – MS in Counseling with MFT Track
- Offers a regionally accredited counseling program with an MFT concentration, ensuring students receive comprehensive training in relationship counseling and mental health assessment.
- Strong partnerships with local mental health organizations provide valuable clinical internship opportunities.
North Carolina’s Quickest MFT Programs
- East Carolina University’s MS in MFT can be completed in two years with full-time enrollment and intensive clinical training.
- Appalachian State University offers a structured 2.5-year MFT program, integrating coursework with supervised clinical experience.
- Online COAMFTE-accredited programs from neighboring states allow students to complete coursework at an accelerated pace while fulfilling clinical training requirements in North Carolina.
- Students with prior graduate-level coursework in psychology or counseling may transfer credits, shortening their degree completion timeline.
For students seeking a fast-track to licensure, enrolling in full-time programs with early clinical placements ensures efficient progress toward graduation and professional practice. Learn about the fastest MFT programs.
North Carolina’s Cheapest MFT Programs
- East Carolina University offers one of the most affordable COAMFTE-accredited MFT programs in the state, making it a top choice for budget-conscious students.
- Appalachian State University and UNC Greensboro provide financial aid, graduate assistantships, and employer tuition reimbursement, reducing out-of-pocket expenses.
- Loan forgiveness programs are available for LMFTs who commit to working in rural or underserved mental health settings, helping students offset tuition costs while gaining valuable experience.
- Online and hybrid programs from accredited institutions may offer lower tuition rates and flexible payment options, making them a viable choice for students balancing work and education.
By exploring state-funded tuition assistance, private scholarships, and employer-based financial aid, students can make MFT education more affordable and accessible.
How to Become Licensed as an LMFT in North Carolina
Earn a Master’s or Doctorate in Marriage and Family Therapy
- Complete an MFT or related mental health graduate program that meets North Carolina’s licensure requirements.
- Ensure coursework includes family therapy models, ethics, and clinical assessment training.
Complete 1,500 Hours of Supervised Clinical Experience
- Gain post-graduate clinical hours, including 750 hours of direct client contact under a licensed MFT supervisor.
- Work in approved therapy settings, such as mental health agencies, hospitals, or private practices.
Pass the National MFT Examination
- Successfully take and pass the Association of Marital and Family Therapy Regulatory Boards (AMFTRB) National MFT Exam.
- Demonstrate competency in therapy interventions, ethics, and clinical assessments.
Apply for Licensure Through the North Carolina Marriage and Family Therapy Licensure Board
- Submit official transcripts, proof of supervised hours, and exam scores for licensure approval.
- Complete any additional requirements mandated by the state licensing board.
Maintain Licensure with Continuing Education
- Complete 40 continuing education (CE) hours every two years, including coursework in ethics, trauma-informed care, and advanced therapy techniques.
- Attend workshops, training programs, and online courses to stay up to date with new mental health research.
This structured process ensures a smooth transition from student to licensed LMFT, allowing professionals to work in private practice, school-based mental health services, and teletherapy programs.
LMFT Career & Salary Outlook in North Carolina
North Carolina’s mental health sector is growing, providing strong job opportunities for LMFTs in private practice, behavioral health organizations, and telehealth services. The average salary for LMFTs in North Carolina is $63,900 per year, with experienced professionals earning over $95,000 annually.
Where LMFTs Work in North Carolina
- Private therapy practices provide higher earning potential and flexible work schedules.
- Hospitals and community mental health centers offer job stability and collaboration with multidisciplinary teams.
- School-based counseling programs allow LMFTs to work with children and adolescents in educational settings.
- Teletherapy expansion has increased demand for LMFTs providing remote counseling services, allowing therapists to serve clients across North Carolina.
With competitive salaries, high demand for therapists, and diverse career paths, North Carolina remains a top destination for LMFT professionals.


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