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Drug & alcohol rehab centers in Seattle, WA

Compare 61 addiction treatment centers in and around Seattle, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Washington for yourself or someone you love.

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61 addiction treatment centers in Seattle, WA

Showing 1–25 How results are ordered

Thumbnail Name Address Phone Treatment Insurance About
Evergreen Treatment Services Seattle Clinic

Evergreen Treatment Services Seattle Clinic

1700 Airport Way South, Seattle, WA 98134

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

The Evergreen Treatment Services Seattle Clinic is a nationally recognized outpatient addiction treatment provider for adults situated in Seattle, Washington. Services include outpatient medication-assisted treatment (MAT), outpatient drug and alcohol rehab, outreach, integrated care management, housing assistance, harm reduction and recovery support services, and valuable community resources and referrals. Providing a variety of innovative and evidence-based addiction and social services,…

Lakeside Milam Recovery Centers Seattle WA 98102

Lakeside Milam Recovery Centers Seattle

2815 Eastlake Avenue East Suite 100, Seattle, WA 98102

  • Detox
  • Outpatient
  • Private insurance

Lakeside Milam Recovery Centers Seattle is a rehab that offers day and night outpatient treatment for adults in the early or mid-stages of addiction to drugs or alcohol. Their Seattle, Washington branch is one of seven locations across the state, and it is conveniently located in the Eastlake Center in downtown Seattle. Their treatment approach views addiction as a physiological…

Sea Mar Turning Point Treatment Center Seattle WA 98144

Sea Mar Turning Point Treatment Center Seattle

113 23rd Avenue South, Seattle, WA 98144

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

The inpatient program at Sea Mar Turning Point Treatment Center, an addiction treatment center in Seattle, Washington, runs 30 days and holds 40 beds. It takes adults 18 and olde who attend their dorms separately by gender. 30-Day Inpatient Program Group therapy runs every day and covers chemical dependency education along with treatment. Individual counseling runs beside it, and the…

Key Recovery and Life Skills Center WA 98168

Key Recovery and Life Skills Center

10344 14th Avenue South, Seattle, WA 98168

  • Inpatient
  • Medicaid

Key Recovery and Life Skills Center is a residential substance use disorder treatment facility in Seattle, Washington providing trauma informed care for adults 21 and older. The program integrates evidence based individual and group therapy, 12 step community support and life skills training to address the whole person in recovery. Founded in 1968 as the first residential drug and alcohol…

Northpoint Seattle WA 98133

Northpoint Seattle

2111 North Northgate Way Suite 101, Seattle, WA 98133

  • Detox
  • Outpatient
  • Private insurance

Northpoint Seattle offers outpatient addiction treatment from their convenient, modern facility in Seattle, Washington. They treat adults and teenagers. Their services include medical detox, partial hospitalization setups, medication assisted treatment, general outpatient treatment and a variety of aftercare and alumni programs. Northpoint has specialty programs for addiction to alcohol, benzos, cocaine, meth, marijuana, heroin, fentanyl and opiates. They also address…

VA Puget Sound Health Care System Seattle VA Medical Center WA 98108

VA Puget Sound Health Care System Seattle VA Medical Center

1660 South Columbian Way, Seattle, WA 98108

  • Outpatient
  • Private insurance

The Seattle VA Medical Center is part of the VA Puget Sound and wider Veterans Affairs healthcare network. The hospital is in Seattle, Washington, and provides multiple services, including specialty services, such as inpatient and outpatient mental health and addiction treatment. The hospital is open 24/7. The hospital is four miles from downtown Seattle and notable destinations such as Pike…

Asian Counseling and Referral Service Main Office Seattle WA 98108

Asian Counseling and Referral Service Main Office Seattle

3639 Martin Luther King Junior Way South, Seattle, WA 98108

  • Outpatient
  • Medicaid
  • Private insurance

Asian Counseling and Referral Service (ACRS) is a community based behavioral health and addiction treatment provider in Seattle, Washington, offering mental health care, substance use disorder services and problem gambling treatment at their main office on Martin Luther King Jr. Way S. Founded in 1973, ACRS delivers culturally responsive care through bilingual and bicultural staff who collectively speak more than…

Ryther WA 98115

Ryther

2400 Northeast 95th Street, Seattle, WA 98115

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Ryther is a nonprofit behavioral health organization in Seattle providing therapeutic and intensive mental health and substance use services primarily for children, teens and young adults. The organization offers outpatient therapy and intensive outpatient, partial hospitalization and community based support for youth with substance use disorders, anxiety and OCD, mood disorders and co-occurring conditions. Ryther delivers a continuum of care…

Therapeutic Health Services Summit Branch WA 98101

Therapeutic Health Services Summit Branch

1116 Summit Avenue, Seattle, WA 98101

  • Outpatient
  • Medicaid
  • Private insurance

Therapeutic Health Services is an addiction treatment center and behavioral health provider in Seattle, Washington. They provide treatment for adults facing substance use and mental health challenges. The center supports recovery using trauma-informed and personalized care principles. Medications to Support Withdrawal Summit Branch offers outpatient and intensive outpatient substance use services with medication-assisted treatment for opioid use disorder (including methadone…

A Positive Alternative WA 98103

A Positive Alternative

4649 Sunnyside Avenue North Suite 200, Seattle, WA 98103

  • Outpatient

A Positive Alternative provides addiction treatment for adults 18 and older in Seattle, Washington. The team includes recovery programs for adults seeking an alternative to traditional 12-step approaches. Since 1990, the state-certified provider has offered separate men's and women's tracks designed for highly motivated participants ready to build lasting recovery skills. The program emphasizes empowerment, choice, and mindfulness-based tools to…

Northbound Treatment Services

Northbound Treatment Services

510 2nd Ave W, Seattle, WA 98119

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Northbound Treatment Services is an outpatient addiction treatment center and assessment hub in Seattle's Lower Queen Anne neighborhood. They serve adults and young adults with both substance use and mental health disorders. The Seattle office offers clinical assessments, day treatment and intensive outpatient programs, counseling and family support. They also provide an alternative sentencing assistance with insurance verification at no…

Associated Behavioral Health Care North Seattle WA 98133

Associated Behavioral Health Care North Seattle

2111 North Northgate Way Suite 212, Seattle, WA 98133

  • Detox
  • Outpatient
  • Private insurance

Associated Behavioral Health Care North Seattle is an outpatient substance use treatment program in Seattle, Washington, located at 2111 North Northgate Way, Suite 212. The facility offers outpatient and intensive outpatient services, cooccurring disorder care and mental health support for adults and young adults. With both substance use and psychiatric services at one North Seattle location, the program takes an…

SOUND Recovery Lake City WA 98125

SOUND Recovery Lake City

11000 Lake City Way Northeast, Seattle, WA 98125

  • Outpatient
  • Medicaid
  • Private insurance

SOUND Recovery Lake City is an outpatient addiction treatment center in Seattle, Washington, providing substance use and co-occurring mental health care for adults. This clinic offers outpatient and intensive outpatient programming, along with integrated behavioral health support. SOUND takes a recovery focused, trauma informed approach designed to treat the whole person and support both individuals and families. Easy Access for…

SOUND Belltown Recovery WA 98121

SOUND Belltown Recovery

2329 4th Avenue, Seattle, WA 98121

  • Outpatient
  • Medicaid
  • Private insurance

SOUND Belltown Recovery is an outpatient addiction treatment center in Seattle, Washington, offering integrated substance use and mental health care for adults. The clinic provides outpatient and intensive outpatient services, ASAM-based assessments, medication support, peer support and referrals to higher levels of care when needed. As part of the broader SOUND network, clients gain access to a low-barrier, recovery focused…

Cascade Hall WA 98115

Cascade Hall

204 Northeast 94th Street, Seattle, WA 98115

  • Inpatient
  • Medicaid
  • Private insurance

Cascade Hall is a residential behavioral health and substance use treatment program in Seattle, Washington, associated with Community Psychiatric Clinic. The facility offers round-the-clock residential care for adults living with serious mental illness and co-occurring substance use disorders. Its focus is dual diagnosis treatment, supporting clients with complex mental health and addiction needs in a structured, supportive setting. Dual Diagnosis…

Sound Northgate WA 98133

Sound Northgate

10700 Meridian Avenue North Suite G-11, Seattle, WA 98133

  • Outpatient
  • Medicaid
  • Private insurance

Sound Northgate is an outpatient substance use treatment provider in Seattle, Washington, part of the SOUND Behavioral Health network serving King County. The clinic offers outpatient and intensive outpatient services, ASAM based assessments, medication assisted treatment and integrated care for cooccurring mental health conditions. Clients appreciate the whole person, recovery oriented approach with walk in access and no referral needed.…

Harborview Medical Center Addictions WA 98122

Harborview Medical Center Addictions

401 Broadway, Seattle, WA 98122

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

Harborview Medical Center Addictions is an outpatient addiction treatment program in Seattle, Washington, providing integrated substance use and mental health care as part of UW Medicine. The program serves adults with chemical dependency, co-occurring psychiatric conditions and comorbid medical needs. Harborview emphasizes a coordinated, multidisciplinary approach that treats addiction and mental health together in one setting. Adult Addiction Evaluations and…

Harborview Medical Center WA 98104

Harborview Medical Center

325 9th Avenue, Seattle, WA 98104

  • Inpatient
  • Medicaid
  • Private insurance

Harborview Medical Center is a hospital-based addiction and co-occurring disorder treatment provider in Seattle, Washington, located in the First Hill neighborhood. Part of UW Medicine, this academic medical center offers inpatient substance use and psychiatric care alongside mental health services and a broad range of medical specialties. Harborview's public, safety-net mission prioritizes care for vulnerable populations, including uninsured, underinsured and…

Harborview Medical Center WA 98104

Harborview Medical Center | Seattle Hospital

325 9th Avenue, Main Hospital, Seattle, WA 98104

  • Outpatient
  • Medicaid
  • Private insurance

Harborview Medical Center in Seattle's First Hill neighborhood offers integrated mental health and addiction services to patients across King County and the greater Pacific Northwest. Its programs treat substance use disorders alongside co-occurring psychiatric and medical conditions for adults, young adults and seniors. As a public safety-net hospital, Harborview prioritizes care for vulnerable and underserved populations, including uninsured, underinsured and…

Matt Talbot Day Center WA 98121

Matt Talbot Day Center

2313 3rd Avenue, Seattle, WA 98121

  • Outpatient

The Matt Talbot Center helps people struggling with addiction, homelessness and mental illness in Seattle, Washington. They provide a 100% no cost substance abuse program for adult members. This program is made up of four chunks that clients progress through as they stabilize. It may take a year or more to graduate. At the beginning, you’ll be in day programming…

New Life Addiction and Recovery Services PLLC WA 98102

New Life Addiction and Recovery Services PLLC

2366 Eastlake Avenue East Suite 331, Seattle, WA 98102

  • Outpatient
  • Private insurance

New Life Addiction and Recovery Services PLLC is a substance use treatment provider in Seattle, Washington, offering outpatient addiction care for adults and young adults. Located at 2366 Eastlake Avenue East, Suite 331, in the Eastlake area, the program is a state certified substance use disorder services location. With evidence based therapies and support for cooccurring disorders, New Life focuses…

Sheltering Tree Counseling WA 98133

Sheltering Tree Counseling

1833 North 105th Street, Seattle, WA 98133

  • Outpatient
  • Private insurance

Sheltering Tree Counseling is an outpatient addiction counseling and mental health practice in Seattle, Washington, offering recovery support and individual therapy for adults. Led by Christi Proffitt, MA, LMHC, SUDP, RDT, the practice provides relapse prevention, coping skills and long-term habit change for those continuing recovery after rehab or intensive outpatient treatment. Sheltering Tree emphasizes a nonjudgmental, affirming and social…

Pioneer Human Services CORP Seattle WA 98178

Pioneer Human Services CORP Seattle

11900 Beacon Avenue South, Seattle, WA 98178

  • Outpatient
  • Medicaid
  • Private insurance

Pioneer Human Services operates the King County Residential Treatment Program for adults living with substance use and mental health disorders in Seattle, Washington. This 16-bed program provides care combining addiction treatment, psychiatric services and recovery support under one roof. Focusing on a mission to serve people impacted by the criminal legal system, Pioneer offers compassionate, whole-person care designed to help…

Pioneers Co Occurring Residential Program WA 98178

King County Residential Treatment Program

11900 Beacon Avenue South, Seattle, WA 98178

  • Inpatient
  • Medicaid

King County Residential Treatment Program is a residential addiction treatment center in Seattle, Washington, operated by Pioneer Human Services for adults living with co-occurring substance use and mental health disorders. This 16-bed program offers ASAM Level 3.3 and 3.5 residential care that blends psychiatric support, medication assisted treatment and life-skills development. Many team members bring personal recovery experience, and support…

Ryther Child Center Seattle WA 98115

Ryther

2400 Northeast 95th Street, Seattle, WA 98115

  • Outpatient
  • Medicaid

Ryther Child Center is a Seattle-based behavioral health provider for children, adolescents, young adults and families from birth to age 25. The center treats substance use, anxiety, depression, mood disorders and co-occurring conditions using approaches like CBT, DBT and trauma-focused CBT. With a mission rooted in healing and hope, Ryther offers flexible, personalized care that keeps families at the center…

Rehab centers in cities near Seattle

Treatment centers in nearby cities, closest to Seattle first. Filter by insurance, level of care, and who the program is designed for.

See Washington rehab centers →

Olivia Pennelle

Counselor, Expert Author, Podcaster

Full bio

Expert insight

“I think this is a great initiative because it supports treating people experiencing homelessness like humans deserving of basic care and they’re then much more likely to get into recovery because they have something to live for.”

The downtown area of Seattle around Third Avenue and Pike is known as “The Blade,” where you’ll find drugs, homelessness and have to fend for yourself. But, after speaking to a social worker friend of mine, I’m happy to hear that not everything that goes down there is an open-air drug market. There’s a new initiative called the Third Avenue Project: a coalition of social workers, service providers and advocates who are on the streets helping combat drugs, crime and poverty in a novel way! They’re doing so much more than providing basic human need supplies, like food — they’ve also saved 11 lives using the opioid overdose reversal drug, Narcan. The teams are also getting to know residents, understanding their challenges, and seeing how they can relate to services.

Frequently asked questions

What to know about rehab in Seattle

How We Rank Listings

Our directory is built to help you compare drug and alcohol rehab centers in Seattle based on what matters most to you, whether that is level of care, accepted insurance, location or specialized programming. We prioritize licensed and accredited facilities, and we surface details like accepted payment types, treatment settings and specialty tracks so you can narrow your options quickly.

Listings reflect verified facility information wherever it is available. We do not accept payment in exchange for higher placement, and every center is presented using the same set of criteria. When you find a program that fits, we recommend contacting it directly to confirm current availability, pricing and insurance participation before making a decision.

  • Accreditation and state licensing status
  • Levels of care offered, from medical detox through outpatient
  • Accepted insurance and payment options
  • Specialty programs for specific populations
  • Verified location and contact information
Rehab in Seattle: What to Know

Seattle sits within King County, the most populous county in Washington and the center of the Seattle-Tacoma-Bellevue metro area. Our directory lists 62 drug and alcohol rehab facilities in and around the city, spanning medical detox, residential treatment and a deep bench of outpatient options. Because Seattle is the region's health care hub, people searching here often have more choices close to home than those in rural parts of the state. You can also compare programs across the wider state on our Washington rehab directory.

Behavioral health services in the area are coordinated in large part through Public Health - Seattle & King County and the county's Behavioral Health and Recovery Division, which contracts with community providers for withdrawal management, outpatient care and medication for opioid use disorder. Major providers with an addiction-treatment presence in the city include the Seattle VA Medical Center's Addiction Treatment Center, Sound behavioral health clinics and Recovery Place Seattle on Beacon Hill, which offers county-contracted detox and residential care. Alongside these public and nonprofit programs, Seattle has a substantial number of private facilities, giving people a range of addiction treatment options at different price points.

One initiative reshaping local access is the Crisis Care Centers Levy, approved by King County voters in April 2023. It funds a planned network of five walk-in crisis centers where anyone can get urgent help for a mental health or substance use crisis regardless of insurance. The first center, Connections Kirkland, opened in 2024, with additional centers, including one for youth, expected by 2030.

The urgency behind that investment is tied to the region's overdose picture. King County recorded roughly 1,340 overdose deaths in 2023 before that figure fell to about 1,042 in 2024, and fentanyl remains the predominant driver of fatal opioid use disorder deaths locally. That context shapes what many Seattle programs emphasize: fast access to medication for opioid use disorder, naloxone distribution and low-barrier entry points into care.

Cost of Rehab in Seattle

What you pay for treatment in Seattle depends on the level of care, the length of your program and whether you use insurance. Because facility-level pricing varies widely and is best confirmed directly with each program, the figures below reflect Washington statewide averages as a reference point. Seattle costs may run at or above these averages given the higher cost of living in the metro area, but the ranges give you a realistic starting point for planning. Verifying your benefits early is the single most useful step, since insurance often covers a large share of the total; you can learn more about using insurance for rehab before you call.

Several factors move the final price up or down. Understanding them ahead of time helps you compare inpatient rehab against outpatient programs and choose a setting that fits both your clinical needs and your budget.

Treatment setting inpatient/residential or outpatient
Length of program 30, 60, or 90 days
Whether medically supervised detox is included
Treatment for co-occurring mental health conditions
Insurance coverage and in-network status
Facility amenities standard vs. enhanced
How to Pay for Rehab in Seattle

Of the 62 facilities listed in Seattle, most accept more than one form of payment, which gives you room to combine coverage sources or find a program that matches your situation. Self-pay is the most widely accepted option, followed closely by private insurance, with a strong majority of programs also participating in public coverage. The grid below shows how many local facilities accept each payment type.

The right mix of coverage depends on your age, income, service history and insurer. The sections below walk through the most common ways Seattle residents pay for care.

Medicare

Medicare covers addiction treatment for eligible adults 65 and older and for some younger people with qualifying disabilities. Coverage generally includes inpatient care under Part A, outpatient services and counseling under Part B and prescription medications under Part D. Thirty-two Seattle facilities accept Medicare. Because coverage details and copays vary by plan, it helps to understand how Medicare covers addiction treatment before enrolling in a program.

Medicaid (Washington Apple Health)

Washington's Medicaid program is called Apple Health, and 40 Seattle facilities accept it. Apple Health covers outpatient treatment, detox, intensive outpatient programs and medication for opioid use disorder, and many residential programs accept it for qualifying levels of care. If your treatment plan includes medication-assisted treatment, Apple Health typically covers the medications used to treat opioid and alcohol use disorders. You can check eligibility through the Washington Health Care Authority or by calling the King County Behavioral Health and Recovery Division client services line at 206-263-8997.

Military Benefits

Active-duty service members, retirees and their families can use TRICARE, which is accepted at 24 Seattle facilities and covers detox, inpatient and outpatient care. Veterans enrolled in VA health care can receive substance use treatment directly through the Seattle VA Medical Center's Addiction Treatment Center. For help navigating eligibility and enrollment, our resources for veterans cover what benefits are available and how to access them.

Insurance and Private Pay

Private health insurance is accepted at 48 Seattle facilities, and 59 accept self-payment. If you carry a commercial plan, your first step is confirming which local programs are in-network, since that has the biggest effect on your out-of-pocket cost. Major carriers active in the Seattle market include the following.

  • Aetna
  • Cigna
  • Coordinated Care
  • Kaiser Permanente
  • LifeWise
  • Molina Healthcare
  • Premera Blue Cross
  • Regence BlueShield
  • UnitedHealthcare

Other Low-Cost Options

For those without robust coverage, 36 Seattle facilities offer financial assistance, 22 offer sliding-scale fees tied to income and 13 offer financing so you can spread payments over time. Community behavioral health agencies and county-contracted programs frequently provide reduced-fee or grant-supported care for people who are uninsured or underinsured.

Free Treatment Programs

At least one Seattle facility offers fully free treatment, and additional no-cost or very low-cost help is available through publicly funded and nonprofit programs described in the resources section below. If cost is the main barrier, it is also worth asking programs about rehab scholarships, which some facilities and foundations offer to cover treatment for people who cannot otherwise afford it.

Levels of Care Available in Seattle

Seattle's 62 facilities cover the full continuum of care, with 20 offering medical detox, 18 offering inpatient rehab and 53 providing outpatient services. A large majority (52) also treat co-occurring mental health and substance use conditions together. The cards below show how many local programs offer each level of care.

Medical detox is often the first step for people withdrawing from alcohol, opioids or benzodiazepines, providing 24-hour supervision to manage symptoms safely. Recovery Place Seattle on Beacon Hill is one county-contracted option. Learn more about what to expect during supervised detox.

Inpatient and residential rehab provides live-in care with structured therapy, medical support and a substance-free environment, typically running from a few weeks to several months. This setting suits people who need a higher level of support or who have a less stable home environment. Read more about residential treatment.

Outpatient and intensive outpatient programs are the most common option in Seattle, letting people attend treatment while living at home and keeping up with work or family. Programs range from a few hours a week to near-daily intensive schedules. Explore how intensive outpatient programs compare.

Dual diagnosis programs treat substance use alongside conditions like depression or anxiety, which is important because the two so often occur together. Integrated care addresses both at once rather than in sequence; our guide to co-occurring depression explains why that matters.

Medication for opioid use disorder is widely available in the area, and King County operates a 24/7 telehealth buprenorphine line (206-289-0287) that anyone 13 or older can call for a free prescription. Medication like buprenorphine reduces cravings and lowers overdose risk while people engage in the rest of their treatment plan.

Sober living and aftercare help people maintain progress after a structured program ends, offering substance-free housing and ongoing support. Planning for this stage early improves long-term outcomes; see our overview of rehab aftercare.

Specialty Programs in Seattle

Many Seattle facilities tailor treatment to specific populations, which can make care feel more relevant and effective. Young adult programming is especially common locally, and there is strong availability of gender-specific and older-adult tracks, along with dedicated options for veterans and LGBTQ+ clients. The cards below show how many programs offer each specialty.

The 50 alcohol-focused programs address alcohol use disorder, still one of the most common reasons people enter treatment. The 44 opioid-focused programs treat opioid use disorder, reflecting the region's ongoing fentanyl crisis. For service members and their families, the area's veterans and military tracks connect service members and their families to dedicated support, while LGBTQ+ clients can find programs offering LGBTQ+ affirming addiction care. Younger clients navigating school and early career pressures may benefit from programs oriented toward young adult and college student substance use.

Free and Low-Cost Rehab Resources in Seattle

Seattle and King County offer an unusually deep network of free and low-cost help, from 24/7 crisis lines to harm reduction supplies and county-funded treatment. If you or someone you care about needs immediate support, the crisis resources below are available around the clock, and if the situation is life-threatening, you should call 911.

Crisis and Recovery Lines

  • 988 Suicide & Crisis Lifeline - Call or text 988 for free, confidential support 24/7. If you are in crisis, our suicide prevention resources explain what to expect when you reach out.
  • Washington Recovery Help Line - 866-789-1511. Free, confidential, 24/7 line that can connect you with a substance use disorder assessment within 24 hours.
  • King County Regional Crisis Line (Crisis Connections) - 206-461-3222. Available 24/7, 365 days a year, with the ability to dispatch mobile crisis teams.
  • 24/7 TeleBup buprenorphine line - 206-289-0287. Anyone 13 or older in King County can call to get a free buprenorphine prescription by phone.

County Behavioral Health

  • King County Behavioral Health and Recovery Division - Client services line: 206-263-8997 or 1-800-790-8049. Helps low-income and Medicaid-eligible residents enroll in mental health and substance use services. kingcounty.gov
  • Connections Kirkland Crisis Care Center - 405 Kirkland Corporate Center. Walk-in urgent behavioral health care for anyone 18 or older, regardless of insurance.https://connectionshs.com/kirkland

Community and Nonprofit Providers

  • Sound - 206-901-2000. Community behavioral health provider offering same-day access clinics for outpatient mental health and substance use care; no referral required. sound.health
  • Recovery Place Seattle - 1701 18th Ave. South, Seattle. County-contracted detox and inpatient substance use treatment. 253-833-7444 https://valleycities.org/

Harm Reduction

  • People's Harm Reduction Alliance - Peer-run syringe services, free naloxone and fentanyl test strips; mails free naloxone anywhere in Washington. Visit phra.org or call 206-330-5777
  • Public Health - Seattle & King County harm reduction vending machines - Free naloxone and fentanyl test strips at locations including Peer Seattle, Peer Kent, Compass Day Center and YouthCare's Orion Center. Kingcounty.gov
  • Seattle Public Library - Free naloxone and fentanyl test strips at all locations while supplies last, no ID required. spl.org

Veterans and Military

  • Seattle VA Medical Center Addiction Treatment Center - 1660 South Columbian Way, Seattle. 206-277-3318. Outpatient and inpatient substance use services for enrolled veterans, with walk-ins welcome Tuesdays and Thursdays. Additional support is available through our resources for veterans and military. Learn more at https://www.va.gov 
  • Veterans Crisis Line - Call 988 and press 1, or text 838255. Free, confidential, 24/7. https://www.veteranscrisisline.net/

Basic Needs and Referrals

  • Washington 211 - Dial 211 or 833-453-0336 for referrals to housing, food, and community services that support recovery. https://wa211.org/
Drug and Alcohol Use Statistics in Seattle

King County's overdose crisis, driven overwhelmingly by fentanyl, reached a peak in 2023 before showing its first meaningful decline in years. Public Health - Seattle & King County reported that overdose deaths fell from roughly 1,340 in 2023 to about 1,042 in 2024, a decrease officials have linked in part to expanded naloxone distribution and low-barrier access to fentanyl and opioid use disorder medication. The numbers below capture the scale of the local picture.

The decline is encouraging but fragile. County health officials have cautioned that it is too early to call it a sustained trend, and fentanyl continues to be the predominant driver of fatal overdoses locally. Statewide, an estimated 3,167 people died from opioid overdoses in Washington in 2024, down from 3,597 in 2023, according to provisional CDC data, a roughly 12 percent decrease that mirrors the county-level improvement. Compared with national substance use statistics, Washington's overdose numbers began declining later than much of the country, which experts attribute to fentanyl arriving in the Pacific Northwest later than elsewhere.

Medical reviewer

Jillian Foglesong Stabile, MD

Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…

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Family Physician. Read bio

Author

Olivia Pennelle

Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…

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Counselor, Expert Author, Podcaster. Read bio

Sources Sources (11)
  1. Addictions.com. (2024). Alcohol & Drug Rehabs in Washington.
  2. Axios Seattle. (2025). Overdose deaths fall in Washington for first time in years.
  3. U.S. Drug Enforcement Administration. (2024). Operation Engage Seattle.
  4. Public Health - Seattle & King County. (2025). Overdose prevention and response.
  5. King County. (2025). Behavioral Health and Recovery Services.
  6. King County. (2025). Substance use services.
  7. King County. (2025). Crisis Services.
  8. Crisis Connections. (2025). Washington Recovery Help Line.
  9. People's Harm Reduction Alliance. (2024). Harm reduction services.
  10. The Seattle Public Library. (2025). Free Naloxone and Fentanyl Test Strips.
  11. U.S. Department of Veterans Affairs. (2026). VA Puget Sound health care, Seattle VA Medical Center.

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