How to Become a Marriage and Family Therapist (MFT) in San Francisco, CA: License Requirements & Salary for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Becoming a marriage and family therapist (MFT) in San Francisco, CA, represents a rewarding and dynamic career path within an expanding mental health landscape. Extensive research shows that California employs over 33,000 MFTs, with the profession experiencing an accelerated growth rate of 27% through 2032, significantly outpacing national averages. This surge reflects heightened public awareness of mental health, particularly the importance of addressing complex family systems in diverse urban populations. San Francisco’s unique cultural fabric amplifies the need for skilled therapists dedicated to fostering healthier relationships and community resilience.

I, along with my team, have thoroughly examined the critical steps to enter this field, including licensure requirements, expected salaries, career trajectories, and emerging opportunities. In this discussion, we will provide a comprehensive roadmap to guide aspiring MFTs toward successful and fulfilling careers in San Francisco.

Key Things to Know About Becoming a Marriage and Family Therapist in San Francisco, CA

• Marriage and family therapists in San Francisco must hold a master’s degree in marriage and family therapy or a related field from an accredited institution.
• Licensure requires completing 3,000 supervised clinical hours and passing the California law and clinical exams.
• The average annual salary for marriage and family therapists in San Francisco is approximately $100,000, higher than the national average due to the city's cost of living.
• The job outlook in California is positive, with a projected 27% growth in therapy-related roles through 2032, driven by increasing mental health awareness.

Table of Contents

1. What are the steps to become a Marriage and Family Therapist in San Francisco, CA?
2. How does San Francisco, CA law define the scope of practice for MFTs?
3. What degree do you need to become an MFT in San Francisco, CA?
4. What is the average salary for a marriage and family therapist in San Francisco, CA?
5. How long does it take to complete a master's degree in marriage and family therapy in San Francisco, CA?
6. What is the cost of tuition for MFT programs in San Francisco, CA, and are there financial aid options?
7. What are the requirements for MFT licensure in San Francisco, CA?
8. What is the job market outlook for MFTs in San Francisco, CA?
9. How can MFTs advance their careers in San Francisco, CA?
10. Can additional teaching credentials benefit my MFT practice in San Francisco, CA?
11. What are the legal requirements for starting a private practice as an MFT in San Francisco, CA?
12. How can I effectively market my MFT practice in San Francisco, CA?
13. What specialized certifications can enhance my practice in San Francisco, CA?
14. Is collaborating with substance abuse counselors a strategic advantage for MFTs in San Francisco, CA?
15. Other Things to Know About Becoming a Licensed Marriage and Family Therapist in San Francisco, CA

What are the steps to become a Marriage and Family Therapist in San Francisco, CA?

To become a Marriage and Family Therapist (MFT) in San Francisco, CA, candidates must follow a structured pathway involving education, supervised clinical training, and licensure. Here are the key steps to becoming a Marriage and Family Therapist in San Francisco, CA:

• Earn a relevant graduate degree. The journey begins with earning a relevant graduate degree, such as a Master’s in Marriage and Family Therapy or a closely related counseling discipline. San Francisco provides several reputable programs including San Francisco State University’s Master’s in Counseling with an MFT specialization, California Institute of Integral Studies’ accredited MFT graduate program, and the University of San Francisco’s Counseling Psychology program focused on marriage and family therapy.

• Complete supervised clinical experience. After obtaining the degree, aspiring MFTs are required to complete approximately 3,000 hours of supervised clinical experience over about two years under the guidance of a licensed MFT supervisor. This hands-on training is essential to develop practical skills and fulfill California Board of Behavioral Sciences (BBS) requirements. San Francisco’s active professional community offers valuable support through local supervision networks, such as those organized by the California Association of Marriage and Family Therapists (CAMFT) San Francisco chapter, which also provides mentorship and networking opportunities.

• Prepare for licensure exams. The licensure process includes passing the California Law and Ethics Exam, followed by the MFT Clinical Exam. Preparing for these exams is supported by various resources in the city, including review seminars, preparatory workshops at local universities, and study groups. Many candidates also benefit from online practice exams and study materials tailored to California-specific licensing standards.

Licensure renewal in California typically requires continuing education to stay current with evolving therapeutic practices and regulations. In San Francisco, therapists have access to a range of workshops and professional development events to meet these requirements efficiently.

Based on the chart below, 40% of marriage and family therapists hold specialized credentials, 30% aim to acquire them, while 30% have no plans for specialization. This distribution suggests that specialization is becoming standard practice in the field. Those pursuing MFT degrees would benefit from selecting programs that offer pathways to specialization and certification to align with industry expectations.

How does San Francisco, CA law define the scope of practice for MFTs?

The scope of practice for marriage and family therapists (MFTs) in San Francisco, CA, is defined by state law but also influenced by local regulations that shape day-to-day professional duties. MFTs primarily focus on diagnosing and treating mental and emotional disorders within the context of family systems and interpersonal relationships. Their work involves individual, couple, and family therapy sessions aimed at improving communication, resolving conflicts, and fostering healthier family dynamics.

San Francisco’s specific MFT licensing regulations emphasize culturally competent care and often require therapists to engage in ongoing education related to the city’s diverse population. Compared to other cities and states, San Francisco mandates a higher standard for understanding local demographic nuances, including LGBTQ+ issues and immigrant family dynamics, reflecting the city’s progressive stance. This local focus can affect treatment approaches and therapeutic techniques employed by MFTs.

While MFTs in San Francisco can provide a wide range of therapeutic services, their scope of practice does have legal limits. They are not authorized to prescribe medication or conduct certain psychological testing that requires a licensed psychologist or psychiatrist. These limitations are aligned with California state law but may be more strictly enforced in San Francisco due to additional oversight by local licensing boards.

Emerging trends suggest that San Francisco might soon expand the role of MFTs to include more integrated care models, collaborating closely with medical professionals in community clinics and hospitals. This shift could broaden the traditional scope of practice, allowing therapists to address mental health within a holistic health framework. Such changes would align with the city’s innovative healthcare policies and emphasis on accessible, multidisciplinary care.

Prospective MFTs in San Francisco should also be aware of evolving telehealth regulations, which are shaping how therapy is delivered in the digital age. These developments enhance flexibility but require strict adherence to confidentiality and ethical guidelines unique to California. Those interested in advancing their credentials might consider exploring specialized programs such as a masters in addiction counseling online to complement their therapy skills.

What degree do you need to become an MFT in San Francisco, CA?

Aspiring marriage and family therapists in San Francisco, CA, typically start their journey by enrolling in graduate programs focused on marriage and family therapy or related mental health fields. 

The educational pathway often begins with a master’s degree, such as a Master of Arts (MA) or Master of Science (MS) in Marriage and Family Therapy, Counseling Psychology, or Clinical Psychology with an emphasis on family systems. For those seeking advanced clinical expertise or academic positions, doctoral programs like a PhD or PsyD specializing in marriage and family therapy are also viable options. These programs cover core subjects including Family Systems Theory, Psychopathology, Ethics and Law in Therapy, Couples Counseling, and Research Methods, which are essential for licensure and effective practice.

Marriage and family therapy degree requirements in San Francisco generally include completing coursework accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE), alongside supervised clinical practicum experiences. Three of the top MFT programs in the region are offered by Alliant International University, the California Institute of Integral Studies (CIIS), and the University of San Francisco. These schools provide comprehensive curricula, strong clinical training opportunities, and connections to the local mental health community, making them excellent choices for those seeking licensure in the area.

To excel and become a licensed marriage and family therapist in San Francisco, CA, students should focus on developing robust research and clinical skills early in their programs. Engaging actively in practicum placements and seeking mentorship from experienced faculty members can significantly enhance practical learning. Aspiring MFTs can also benefit from utilizing local resources such as the California Association of Marriage and Family Therapists (CAMFT) San Francisco chapter and various community counseling centers. These resources offer valuable networking opportunities and exposure to diverse client populations.

Looking ahead, future MFTs may find increasing value in integrating technology and culturally competent practices into their training. For those exploring educational options, understanding what is the best online marriage and family counseling masters degree can also provide flexible pathways to licensure while balancing other commitments. San Francisco’s vibrant mental health environment is likely to continue fostering innovative educational models and culturally responsive therapy approaches.

What is the average salary for a marriage and family therapist in San Francisco, CA?

Marriage and family therapists (MFTs) in San Francisco, CA, enjoy salaries that reflect the city’s elevated cost of living and strong demand for mental health services. The average annual salary typically ranges from $91,897 to $103,678 annually. This is significantly higher than the California state average, where MFTs earn $83,892 annually. 

An MFT from San Francisco shared insights about the unique challenges and rewards faced locally. They described the initial hurdles of launching a practice given steep rental costs and intense competition. However, they emphasized that investing in ongoing education and cultivating relationships with healthcare providers were key strategies that gradually enhanced their income and referral rates. The therapist noted that beyond financial gains, the city’s progressive approach to mental health amplified opportunities to serve diverse populations, enriching their professional experience and satisfaction.

Looking ahead, the salary trajectory for MFTs in San Francisco may continue to rise as telehealth expands and funding for mental health services grows. Therapists who adapt to digital platforms and pursue specialized certifications are likely to see increased demand and compensation in this evolving landscape.

How long does it take to complete a master's degree in marriage and family therapy in San Francisco, CA?

Completing a master’s degree in marriage and family therapy in San Francisco, CA, typically takes between two to three years of full-time study, with most programs requiring 60 to 65 credit hours. However, some accelerated programs in the San Francisco Bay Area allow students to finish in as little as 18 to 24 months. Conversely, part-time options extend the duration beyond three years, offering flexibility for working professionals. These variations in master's degree duration marriage family therapy San Francisco depend on course load, scheduling flexibility, and the student's prior academic background.

In addition to coursework, aspiring therapists must complete a supervised clinical internship, which is a critical step in the training process. California mandates a minimum of 3,000 hours of supervised work experience, often taking 2 to 4 years post-graduation but sometimes started during the degree program through approved internships. San Francisco provides multiple internship opportunities through community mental health centers, hospitals, and private practices, making it easier for students to gain hands-on experience.

To make the most of their time and speed up completion, students should seek programs with integrated internships and maintain close communication with academic advisors. Networking with faculty and joining professional groups can help secure quality placements. For those interested, it is also beneficial to review the requirements for counseling certifications and licensure by state to understand the full pathway. With the growing demand for MFTs in San Francisco, future trends may include more innovative program formats designed to reduce time-to-practice while maintaining rigorous training standards.

What is the cost of tuition for MFT programs in San Francisco, CA, and are there financial aid options?

Tuition fees for marriage and family therapy programs San Francisco vary widely depending on the type of degree and institution. Typically, pursuing a Master’s degree in Marriage and Family Therapy or related counseling fields costs around $75,000 for the entire program. Public universities generally offer more affordable tuition, while private schools charge higher rates. The duration, usually two to three years, affects overall expenses, especially when factoring in required internships or supervised clinical hours, which may be unpaid. Additional training or licensure preparation courses can further increase costs.

San Francisco’s higher cost of living impacts housing, transportation, and educational materials, making the total investment for MFT students more expensive than in other regions. However, the city’s expanding mental health sector and demand for licensed therapists may offer promising career and salary prospects, balancing the initial educational costs. Those seeking more flexible study options might consider exploring CACREP accredited online counseling programs that could provide cost savings and convenience.

Financial aid options for MFT students in San Francisco, CA include federal and state grants, loans, and scholarships. Local opportunities, such as the San Francisco Mayor’s Scholarship and grants from community colleges, can help reduce tuition burdens. Aspiring therapists are encouraged to investigate scholarships specific to mental health fields and consider part-time clinical assistant roles. Although financial aid for electricians is separate, some cross-disciplinary grants may support broader vocational training within the city’s educational ecosystem.

What are the requirements for MFT licensure in San Francisco, CA?

To become a licensed Marriage and Family Therapist (MFT) in San Francisco, CA, candidates must complete a structured pathway aligned with California state regulations and local professional standards:

• Educational Requirements. Earn a qualifying master’s or doctoral degree in marriage and family therapy or a related field from an accredited institution, providing essential foundational knowledge for licensure.

• Registration as an Associate MFT. Register as an Associate Marriage and Family Therapist (AMFT) with the California Board of Behavioral Sciences (BBS) after degree completion to begin accruing supervised clinical experience.

• Supervised Clinical Experience. Complete 3,000 hours of supervised clinical work over two to three years under licensed supervisors, gaining practical skills necessary for independent practice.

• Licensing Examinations. Pass two California-specific exams administered by the BBS: the Law and Ethics Exam, which covers relevant legal and ethical standards, and the Clinical Exam, which assesses clinical competence.

• Continuing Education and License Renewal. Maintain licensure through renewal every two years by completing 36 hours of continuing education, including six hours focused on California law and ethics. In San Francisco, continuing education often emphasizes cultural competence, social justice, and urban mental health issues to reflect local community needs.

• Local Professional Support. Leverage local professional resources such as the San Francisco Association of Marriage and Family Therapists (SFAMFT) for networking, continuing education, and advocacy tailored to practitioners in the city.

• Alternative Licensure Pathways. Explore alternative licensure routes for professionals holding credentials like Licensed Professional Clinical Counselor (LPCC) or Licensed Clinical Social Worker (LCSW), which have distinct requirements.

• Additional Certifications. Enhance employability and cultural responsiveness by obtaining bilingual or multicultural certifications, important for serving San Francisco’s diverse population.

For students exploring foundational differences in mental health degrees, resources addressing is there a difference between MFT and MSW degree can provide valuable insight into educational options and career trajectories.

What is the job market outlook for MFTs in San Francisco, CA?

The job outlook for marriage and family therapists (MFTs) in San Francisco, CA, is notably strong and expected to grow significantly over the coming years. Currently, the city employs around 1,200 MFTs, highlighting a solid base of professionals serving the community's mental health needs. Projections for the whole state indicate a 27% increase in demand for MFTs through 2032, surpassing the national average growth rate of 16%. This upward trend is also expected in San Francisco, fueled by greater awareness of mental health, expanded insurance coverage, and a growing focus on holistic family and relationship therapy.

Compared to major metropolitan areas like Los Angeles and New York City, San Francisco offers highly competitive employment opportunities, although employers often seek candidates with specialized skills. These include cultural competence and an understanding of urban community dynamics to effectively serve the city’s diverse population.

Based on the chart below, California leads the nation with 30,890 employed marriage and family therapists (MFTs), significantly outpacing other states such as Minnesota (4,230) and New Jersey (3,900). This concentration underscores California's robust demand for mental health professionals, driven by factors like a high cost of living and a diverse population. For aspiring MFTs in California, this translates to abundant career opportunities, competitive salaries, and a dynamic work environment, particularly in urban areas like San Francisco and Los Angeles.

How can MFTs advance their careers in San Francisco, CA?

Marriage and family therapists (MFTs) in San Francisco, CA, are positioned within a thriving and evolving mental health landscape that offers numerous avenues for career advancement.

• Specializing in emerging therapeutic areas aligned with local community needs. With the city’s increasing demand for specialized mental health services, aspiring MFTs can anticipate opportunities to deepen their expertise in high-need areas such as trauma therapy, LGBTQ+ issues, and substance abuse counseling. These specializations not only meet local community needs but also enhance therapists’ marketability and potential for higher earnings.

• Engaging in continuing education programs. Several local institutions contribute significantly to professional development by offering advanced certificates and continuing education. For example, the San Francisco State University Department of Counseling and the California Institute of Integral Studies provide targeted programs that equip therapists with specialized skills, preparing them for leadership and supervisory roles. These programs are likely to expand further as the demand for niche therapeutic services grows, encouraging MFTs to continually update their credentials.

• Gaining supervised clinical experience. In addition to academic advancement, practical experience plays a crucial role in career growth. San Francisco is home to respected clinical training sites and agencies such as the San Francisco Community Clinic Consortium and the Family Service Agency of San Francisco. These organizations offer supervised clinical hours, workshops, and mentorship opportunities that are essential for developing clinical competence and leadership skills. Looking ahead, these agencies may increase their focus on integrated healthcare models, enabling MFTs to collaborate more closely with medical professionals in hospitals and community health centers.

Can additional teaching credentials benefit my MFT practice in San Francisco, CA?

Incorporating teaching credentials can diversify service offerings by enabling MFTs to lead educational workshops, facilitate community seminars, or engage in school-based mental health programs. This interdisciplinary approach not only enhances therapeutic frameworks but also strengthens community outreach and client education. For practitioners interested in broadening their professional impact on mental health and education, exploring the benefits of adjunct credentials may prove advantageous. Consider reviewing cheapest teacher certification programs in San Francisco to assess cost-effective pathways that complement clinical expertise.

What are the legal requirements for starting a private practice as an MFT in San Francisco, CA?

Starting a private practice as a Marriage and Family Therapist (MFT) in San Francisco, CA, necessitates meeting several legal and professional requirements. The foundational step is obtaining licensure from the California Board of Behavioral Sciences (BBS), which mandates completing a master’s or doctoral degree in marriage and family therapy, accumulating supervised clinical hours, and passing both the California Law and Ethics Exam and the clinical MFT licensing exam. Once licensed, therapists must navigate local regulations by securing a business license from the City and County of San Francisco and possibly registering a fictitious business name if operating under a different practice name.

Additional legal safeguards include obtaining professional liability insurance, which not only protects against malpractice claims but is also essential for joining insurance panels. Therapists who plan to accept insurance reimbursements must apply for a National Provider Identifier (NPI) and undergo credentialing processes with insurance companies, which can be time-consuming but crucial for expanding client base and revenue streams.

Compliance with HIPAA regulations is mandatory to ensure the confidentiality and security of client health information. Given the growing adoption of telehealth services, therapists must also stay updated on state and federal telehealth guidelines specific to San Francisco to maintain compliance and offer flexible care options.

To enhance credibility and attract clients, pursuing additional certifications such as Certified Clinical Supervisor (CCS) or specialized therapy modalities is becoming increasingly common. Nearly 60% of licensed MFTs in San Francisco operate private practices, reflecting a robust and competitive market.

How can I effectively market my MFT practice in San Francisco, CA?

Developing a targeted marketing strategy is crucial for building a robust client base and enhancing practice visibility. Focus on creating an optimized online presence with a professional website that highlights your unique therapeutic methods and local expertise. Utilize local SEO tactics by incorporating geo-specific keywords and regularly updating your content to address current trends and client concerns. Additionally, engaging with community networks through local events, workshops, and collaborations with other mental health professionals can foster strong referral relationships. Leverage digital platforms and social media to share client success stories, expert insights, and informational resources that resonate with San Francisco’s diverse population. For complementary guidance on related professional standards, reviewing mental health counselor requirements in San Francisco can provide additional insights into aligning your practice with regional expectations.

What specialized certifications can enhance my practice in San Francisco, CA?

Emerging specialized certifications allow MFTs to refine therapeutic skills beyond standard licensure. Advanced credentials in areas such as trauma-informed care, integrated behavioral health, and culturally responsive therapy can differentiate practitioners in San Francisco’s competitive market. These certifications support evidence-based techniques, fostering client trust and expanding referral networks. For step-by-step guidance on advanced training options and eligibility criteria, review our article on how to become a therapist in San Francisco.

Is collaborating with substance abuse counselors a strategic advantage for MFTs in San Francisco, CA?

Integrated treatment models in San Francisco increasingly emphasize the value of interdisciplinary collaboration. Aligning with substance abuse professionals allows MFTs to address co-occurring disorders, streamline care coordination, and broaden the referral network. This collaborative approach supports tailored treatment plans that simultaneously consider family dynamics and addiction recovery, ultimately enhancing clinical outcomes. Professionals interested in expanding their service offering can review  resources on how to become a substance abuse counselor in San Francisco for practical insights into building such partnerships.

What do marriage and family therapists in San Francisco, CA have to say about their careers?

• "Completing my marriage and family therapy program at San Francisco State University was a transformative experience that prepared me for the vibrant and diverse community here. The city's progressive values and openness have allowed me to work with clients from many different backgrounds, which has deepened my understanding and passion for healing families. I love how San Francisco’s resources, including numerous support groups and wellness centers, enhance the quality of care I can offer. Every day feels like an opportunity to grow both personally and professionally in this unique environment." - Alex

• "Choosing to study at the University of San Francisco opened doors to incredible professional development opportunities. The city’s dynamic culture and the strong network of experienced therapists have challenged me to continually improve my skills and adapt to new therapeutic approaches. San Francisco’s fast-paced environment and focus on innovation in mental health services have made my career both stimulating and rewarding. Being part of this community means contributing meaningfully to families who are eager for change and support." - Cameron

• "My time at Saybrook University’s San Francisco campus was a deeply reflective journey that helped me connect my personal values with my professional goals. The city’s commitment to social justice and mental health advocacy has inspired me to focus on underserved populations, making my work feel impactful and necessary. While the urban challenges can be complex, they also provide rich opportunities to develop creative, culturally sensitive interventions. I feel fortunate to advance my career in a place where I can truly make a difference." - Phil

Other Things to Know About Becoming a Licensed Marriage and Family Therapist in San Francisco, CA

Can I transfer my MFT license from another city to San Francisco, CA?

Transferring an MFT license from another city to San Francisco, CA, currently requires applying for licensure by endorsement through the California Board of Behavioral Sciences, as there is no formal reciprocity between states. Therapists must meet California’s unique criteria, including passing a law and ethics exam and verifying supervised experience. Looking ahead, there may be moves toward streamlined interstate licensing frameworks to ease mobility for professionals. For now, resources like the California Board of Behavioral Sciences and the California Association of Marriage and Family Therapists provide essential guidance and support for navigating this complex process.

Which industries in San Francisco, CA employ the most MFTs?

Marriage and family therapists in San Francisco, CA, are primarily employed in healthcare facilities, private practices, community mental health centers, and social service agencies. Employers generally require a master’s degree in marriage and family therapy or a related field, licensure, and supervised clinical experience. Looking ahead, increasing demand for mental health services in diverse urban populations may expand opportunities in teletherapy and integrated healthcare settings. Aspiring MFTs should focus on local internships, professional networking, and staying updated with California’s licensing requirements to enhance employability. Emerging trends suggest growth in culturally competent care and technology-driven therapy models within the city’s mental health landscape.

Do you need a masters to be a therapist in San Francisco, CA?

To become a licensed marriage and family therapist (MFT) in San Francisco, CA, a master’s degree is currently essential. The California Board of Behavioral Sciences requires applicants to hold at least a master’s or doctoral degree from an accredited program, ensuring rigorous training and competence. Popular degrees include a Master of Arts in Marriage and Family Therapy and a Master of Social Work with a family therapy focus. Looking ahead, emerging trends might emphasize integrated mental health approaches or advanced certifications, potentially reshaping educational pathways while maintaining the master’s degree as a foundational requirement.

What is the fastest way to become a licensed therapist in San Francisco, CA?

The fastest route to becoming a marriage and family therapist (MFT) in San Francisco often involves enrolling in accelerated master’s programs that condense coursework and clinical hours into about two years. These programs integrate early internship placements, enabling students to quickly accumulate the 3,000 supervised clinical hours required for licensure. Aspiring MFTs should prioritize internships at community clinics or agencies offering flexible schedules to maximize hourly accrual. Looking ahead, digital platforms and telehealth internships may further streamline this process. Staying updated on California Board of Behavioral Sciences processing times remains crucial to minimize delays in obtaining licensure after exam completion.

References:

• American Association for Marriage and Family Therapy. (n.d.). About marriage and family therapists. Retrieved from https://www.aamft.org/AAMFT/About_AAMFT/About_Marriage_and_Family_Therapists.aspx

• National University. (2023, June 26). What is marriage and family therapy? Retrieved from https://www.nu.edu/blog/what-is-marriage-and-family-therapy/

• Pacific Oaks College. (2021, November 2). What is the difference between an LCSW and an LMFT? Retrieved from https://www.pacificoaks.edu/voices/psychology/what-is-the-difference-between-an-lcsw-and-an-lmft/

• Psychology Today. (n.d.). Marriage and family therapy. Retrieved from https://www.psychologytoday.com/us/therapy-types/marriage-and-family-therapy

• U.S. Bureau of Labor Statistics. (2023, May). Marriage and family therapists. Occupational Outlook Handbook. Retrieved from https://www.bls.gov/ooh/community-and-social-service/marriage-and-family-therapists.htm

• U.S. Department of Labor, Employment and Training Administration. (2025, May 20). Marriage and family therapists. O*NET Online. Retrieved from https://www.onetonline.org/link/summary/21-1013.00