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

Co-Founder and Chief Data Scientist

Aspiring marriage and family therapists in Spokane, Washington, can build meaningful and profitable careers. In 2023, marriage and family therapists in the Evergreen State had a median hourly wage of $32.05 [US Bureau of Labor Statistics (BLS), 2024], which is higher than the $30.66 median hourly wage of these professionals across the US in 2024 (US BLS, 2025). Notably, the figure is much higher than the $21.11 living wage of single, childless adult residents of Spokane in 2025 (Glasmeier & Massachusetts Institute of Technology, 2025).

To help you get started on your career as a marriage and family therapist in Spokane, Washington, I created this in-depth guide to educational requirements, the cost of marriage and family therapy programs, licensure requirements, income potential, and job outlook.

Key Things to Know About Becoming a Marriage and Family Therapist in Spokane, WA

In 2023, marriage and family therapists employed in the state of Washington had a median hourly wage of $32.05 (US BLS, 2024). In 2024, marriage and family therapists across the US had a median hourly wage of $30.66 (US BLS, 2025).
Across the country, employment for marriage and family therapists is expected to increase by 16% between 2023 and 2033, which is much faster than the average job growth rate for all occupations in the US (US BLS, 2025).
The city of Spokane offers diverse clinical settings, including private practices, community agencies, and hospitals. This provides varied career opportunities for marriage and family therapists.

What are the steps to become a Marriage and Family Therapist (MFT) in Spokane, WA?
How does Spokane, WA law define the scope of practice for MFTs?
What degree do you need to become an LMFT in Spokane, WA?
What is the average salary for a marriage and family therapist in Spokane, WA?
How long does it take to complete a master's degree in marriage and family therapy in Spokane, WA?
What is the cost of tuition for MFT programs in Spokane, WA, and are there financial aid options?
What are the requirements for MFT licensure in Spokane, WA?
What is the job market outlook for MFTs in Spokane, WA?
How can MFTs navigate insurance billing and administrative challenges in Spokane, WA?
Can MFTs Combine Clinical Practice with Teaching Roles in Spokane, WA?
How can additional certifications boost your practice as an MFT in Spokane, WA?
How can MFTs advance their careers in Spokane, WA?
What are the legal requirements for starting a private practice as an MFT in Spokane, WA?
How is teletherapy influencing client engagement and practice growth for MFTs in Spokane, WA?
Other Things You Need to Know about Becoming a Marriage and Family Therapist in Spokane, WA

What are the steps to become a Marriage and Family Therapist in Spokane, WA?

To become a licensed Marriage and Family Therapist (MFT) in Spokane, WA, individuals must follow a structured path that includes education, supervised clinical experience, and successful completion of licensing examinations. The initial requirement is to obtain a relevant graduate degree, such as a Master’s in Marriage and Family Therapy or a closely related counseling field. Spokane offers several reputable programs including Eastern Washington University, Gonzaga University, and Whitworth University, each providing comprehensive curricula that cover foundational clinical theory, counseling techniques, and essential practicum experiences.

Following graduation, candidates must complete a minimum of 3,000 hours of post-graduate supervised clinical work over at least two years. This hands-on training is critical to developing the practical skills necessary for effective therapeutic practice and meeting Washington state licensure standards.

The licensure process requires passing the national Marriage and Family Therapy exam administered by the Association of Marital & Family Therapy Regulatory Boards (AMFTRB). Spokane-based candidates benefit from local resources such as review seminars and workshops offered by the Washington Association for Marriage and Family Therapy (WAMFT) and apprenticeship opportunities within Spokane-area counseling centers. These resources support exam preparation and professional development.

Once licensed, practitioners must adhere to state regulations for license renewal, which typically involves completing continuing education credits to maintain clinical competence and stay current with evolving therapeutic practices.

Unique to Spokane is its growing demand for MFTs, with a 10% increase in the profession over recent years, reflecting a heightened community focus on mental health services. The city’s local professional networks and continuing education opportunities provide an advantageous environment for career growth and mentorship.

Key resources and educational options in Spokane include:

Eastern Washington University – Master of Science in Marriage and Family Therapy
Gonzaga University – Master of Arts in Counseling with MFT specialization
Whitworth University – Master of Arts in Counseling Psychology with MFT track

How does Spokane, WA law define the scope of practice for MFTs?

The scope of practice for marriage and family therapists in Spokane, WA, is defined by state law and local regulations that govern clinical activities and professional boundaries. Marriage and family therapists primarily provide assessment, diagnosis, and treatment of mental and emotional disorders within the context of family systems and interpersonal relationships. Their day-to-day duties typically include conducting psychotherapy sessions, developing treatment plans, facilitating communication between family members, and collaborating with other healthcare providers to ensure comprehensive care.

Spokane, WA law specifically outlines that marriage and family therapists must operate within the parameters of their licensure, which restricts them from prescribing medication or performing medical procedures. These legal boundaries ensure that therapists focus on psychotherapy and counseling interventions while referring clients to psychiatrists or medical professionals when medication management is necessary. This limitation aligns with regulations throughout Washington state but may differ from some other states that allow broader scopes or require additional certifications for expanded roles.

In comparison to other cities and states, Spokane adheres strictly to Washington’s licensing board mandates, which emphasize ethical standards, continuing education, and supervision requirements for practice. One notable distinction in Washington law is the emphasis on cultural competence and sensitivity training, reflecting the diverse population served. These regulations affect the legal requirements for MFTs in Spokane Washington by mandating ongoing professional development tailored to local community needs, which may be more rigorous than in some neighboring states.

Understanding the Spokane WA marriage and family therapy scope of practice is essential for practitioners aiming to maintain compliance and provide effective care. Therapists must navigate these regulatory frameworks carefully to avoid legal pitfalls and uphold professional integrity. For those considering this career path, it is advisable to review state statutes closely and engage with local professional organizations to stay informed about evolving legal standards.

For individuals exploring career options in related health professions, resources such as the MFT career pathway provide valuable insights into job responsibilities, salary expectations, and necessary qualifications, complementing an understanding of the regulatory environment in Spokane.

What degree do you need to become an MFT in Spokane, WA?

To meet the educational requirements for LMFT licensure Spokane WA, aspiring marriage and family therapists typically pursue a master’s degree in marriage and family therapy or related counseling fields. Many begin with a bachelor’s degree in psychology, social work, or human services before advancing to graduate studies. The master’s degree programs generally span two to three years and combine rigorous coursework with supervised clinical practice, which is essential for licensure eligibility.

Common courses in master’s programs include Family Systems Theory, Human Development, Ethics and Professional Issues, Couples Therapy Techniques, and Multicultural Counseling. These courses provide a comprehensive understanding of therapeutic interventions, relational dynamics, and professional ethics, forming the foundation for effective clinical practice.

In Spokane, three of the top MFT programs or schools in Spokane, WA, are Eastern Washington University, Gonzaga University, and Whitworth University. Eastern Washington University offers a Master of Science in Counseling with a specialization in Marriage and Family Therapy, accredited by COAMFTE. Gonzaga University and Whitworth University provide master’s degrees in counseling psychology or clinical mental health counseling, which prepare students for licensure with relevant coursework and clinical hours.

To excel in these programs, students should develop strong clinical skills through internships and supervision, engage actively in research, and leverage local resources. Organizations such as the Spokane Counseling Center and the Washington Association for Marriage and Family Therapy (WAMFT) Spokane chapter offer invaluable networking, continuing education, and mentorship opportunities. Additionally, exploring a list of the best online graduate counseling certificates can supplement one’s education and enhance career prospects.

Maintaining up-to-date knowledge of licensure requirements and best practices is crucial, especially considering the projected 19% growth in demand for marriage and family therapists in Spokane between 2022 and 2032. Focusing on comprehensive training and utilizing Spokane’s local professional resources can significantly improve one’s chances of success in this evolving field.

What is the average salary for a marriage and family therapist in Spokane, WA?

The average annual salary for marriage and family therapists (MFTs) in Spokane, WA, ranges from $55,000 to $75,000 as of 2023. Monthly wages typically fall between $4,600 and $6,250. These figures are consistent with the broader Washington state average, where MFTs earn approximately $60,000 to $80,000 annually, depending on factors such as experience and workplace setting.

Entry-level MFTs in Spokane generally start near $45,000 annually, reflecting local economic conditions and demand for mental health services. With increased experience, specialization, or supervisory responsibilities, therapists can see salaries rise beyond $80,000, particularly in private practice or specialized clinical roles.

An MFT from Spokane shared their personal experience: “Early in my career, I encountered the challenge of balancing client care with the financial realities of a modest starting salary. Navigating insurance reimbursements was a steep learning curve, and building a steady client base took time. However, developing professional relationships within the community and pursuing advanced certifications in trauma and substance abuse counseling significantly boosted my earning potential. Despite Spokane’s smaller market size, the rewarding client connections and professional growth opportunities have made the journey fulfilling.”

To enhance earnings, Spokane MFTs often pursue certifications, expand private practice, or join multidisciplinary healthcare teams. Ongoing professional development and active networking are essential strategies to advance wages and career growth in this evolving field.

The chart below provides a visualization of the 2024 median annual wages of marriage and family therapists in the top-paying industries in the US, according to 2025 data released by the US BLS.

How long does it take to complete a master's degree in marriage and family therapy in Spokane, WA?

Completing a master’s degree in marriage and family therapy in Spokane, Washington, usually requires 2 to 3 years of full-time study, with most accredited programs mandating around 60 semester credits. Part-time enrollment can extend this timeline to approximately 4 years. Some Spokane-area institutions offer accelerated MFT programs, which allow motivated students to finish their degree in as little as 18 to 24 months.

Beyond coursework, aspiring marriage and family therapists must fulfill a supervised internship or practicum requirement, usually totaling 2,000 to 3,000 hours. This hands-on experience is crucial for Washington State licensure and can impact the overall duration of training. Internship placements in Spokane are frequently available through mental health clinics, hospitals, community centers, and private practices. Networking within local professional organizations such as the Washington Association for Marriage and Family Therapy can be instrumental in securing these opportunities.

To optimize the duration of studies, students should consider enrolling full-time and taking summer sessions, which can accelerate program completion. Selecting programs that integrate internships early also allows for concurrent practical experience alongside academic work. For those exploring various educational routes, reviewing the ranking of cheapest PhD in counseling online programs may offer additional pathways to expedite their training while managing costs.

What is the cost of tuition for MFT programs in Spokane, WA, and are there financial aid options?

The cost of marriage and family therapy programs in Spokane WA varies significantly based on institution type and program length. In-state tuition for public master’s programs generally ranges from $8,000 to $15,000 per year, while private institutions may charge between $20,000 and $35,000 annually. Since these programs typically last two to three years, total tuition expenses can range from approximately $16,000 to over $70,000. Additional costs include textbooks, fees, supervision hours, and clinical internships required for licensure, which can add several thousand dollars to the overall financial commitment.

Several factors influence the cost of becoming an MFT in Spokane, including the program’s accreditation, duration, and availability of part-time or online options. These flexible formats may offer cost savings and accommodate working students. The city’s generally lower cost of living compared to other Washington metropolitan areas can make living expenses during study more affordable. However, candidates should also budget for licensing exam fees and continuing education requirements after graduation. To explore cost-effective educational paths, students can consult the ranking of affordable online colleges for counseling degree programs.

Financial aid options for MFT students Spokane WA include federal and state grants, loans, and scholarships. The Washington Student Achievement Council provides grants to eligible residents, while local organizations occasionally offer scholarships targeted at social service professions. Although specific scholarships for MFT candidates are limited, it is advisable to contact individual schools’ financial aid offices and regional mental health foundations to identify current funding opportunities tailored to this field.

MFTs who learned about the job during undergraduate

What are the requirements for MFT licensure in Spokane, WA?

Becoming a licensed marriage and family therapist in Spokane, WA, requires completing a series of well-defined steps regulated by the Washington State Department of Health (DOH) and overseen locally by the Behavioral Health Administrative Services Organization (BH-ASO). The initial requirement is earning a master’s or doctoral degree in Marriage and Family Therapy or a closely related field from a COAMFTE-accredited program or an equivalent. Following graduation, candidates must accumulate at least 3,000 supervised clinical hours over a minimum of two years under a Washington-licensed supervisor. This supervised experience typically spans two to three years depending on individual progress and placement availability, making it a critical phase in the marriage and family therapist licensure Spokane WA process.

Upon completion of supervised hours, candidates are required to pass the national MFT licensing exam administered by the Association of Marital & Family Therapy Regulatory Boards (AMFTRB). Washington state also mandates a jurisprudence exam to assess knowledge of state-specific laws and ethical standards. What distinguishes Spokane and the broader state licensure requirements are additional endorsement pathways for therapists working in community or tribal settings, including specialized certifications for those serving tribal communities, reflecting Spokane’s close proximity to several tribal nations.

Renewal of the MFT license in Spokane occurs every two years, requiring the completion of 36 hours of continuing education (CE). Washington enforces that at least 6 of these hours address cultural competency, ethics, or suicide prevention, emphasizing the state’s commitment to culturally responsive and holistic mental health care. The renewal process is conducted online through the Washington DOH portal with a standard fee. Local institutions such as Eastern Washington University and Spokane County Mental Health provide continuing education opportunities tailored to regional needs, making the continuing education requirements distinct in Spokane, WA.

Aspiring therapists in Spokane seeking financial support can explore options like scholarships at Eastern Washington University or grants and loan repayment programs offered by the Spokane Workforce Council for service in underserved areas. For those interested in affordable educational pathways, consider exploring cheap online masters in substance abuse counseling degrees as a complementary or alternative route within behavioral health fields.

What is the job market outlook for MFTs in Spokane, WA?

The job outlook for Marriage and Family Therapists (MFTs) in Spokane, WA, is favorable, with steady growth anticipated over the next decade. Currently, Spokane employs approximately 150 to 200 MFTs, reflecting a notable demand for mental health professionals specializing in family and relationship counseling. This demand is influenced by heightened awareness of mental health issues and the increasing need for family-centered therapeutic services within the region.

Employment projections for MFTs in Washington state indicate a growth rate of about 19% from 2022 to 2032, surpassing the average for all occupations. Spokane benefits from this trend due to expanding healthcare infrastructure and community support services seeking qualified therapists. Compared to larger metropolitan areas like Seattle or Portland, Spokane has fewer MFTs, yet the per capita demand remains robust because of limited local competition and significant investments in behavioral health.

Key employment requirements for MFTs in Spokane include:

Possession of a valid Washington state license specific to Marriage and Family Therapy
Completion of a master’s degree in marriage and family therapy or a closely related field
Accumulation of supervised clinical hours as mandated by state licensure regulations
Passing the national licensing examination for MFTs
Engagement in continuing education to maintain licensure and stay current with evolving therapeutic practices

The chart below provides a visualization of the states with the highest concentrations of jobs for marriage and family therapists in the US, according to 2025 data from the US BLS.

How can MFTs navigate insurance billing and administrative challenges in Spokane, WA?

Effective practice management extends beyond clinical expertise, with administrative tasks and insurance billing posing ongoing challenges. In Spokane, MFTs benefit from adopting streamlined systems for accurate coding, timely claims submission, and proactive follow-up on reimbursements. Implementing specialized software and regular training on evolving billing regulations can minimize claim denials and optimize revenue cycles. Additionally, forming partnerships with local billing specialists or outsourcing administrative responsibilities may allow therapists to focus more on clinical care while ensuring compliance with both state and federal regulations. For practitioners considering an expansion of their service offerings, exploring integrated approaches, such as blending traditional therapy with substance abuse services, could further diversify practice revenue. Learn more about how to become a substance abuse counselor in Spokane.

Can MFTs Combine Clinical Practice with Teaching Roles in Spokane, WA?

Marriage and family therapists in Spokane, WA, may expand their professional impact by blending clinical practice with educational roles. By taking on adjunct faculty or guest lecturing positions, experienced MFTs can share their practical insights and support the next generation of mental health professionals. This dual approach not only diversifies income streams but also reinforces leadership within the community. For those considering an academic pathway, exploring the cheapest teacher certification programs in Spokane may offer a cost-effective method to gain the necessary credentials while maintaining clinical practice commitments.

How can additional certifications boost your practice as an MFT in Spokane, WA?

Acquiring advanced certifications such as trauma-informed care, substance abuse counseling, or specialized family therapy techniques can refine clinical skills and address unmet community needs. Pursuing these credentials not only differentiates your practice in a competitive market but also equips you to serve diverse client populations more effectively. Integrating complementary qualifications, like insights into mental health counselor requirements in Spokane, further broadens your expertise and enhances marketability among referral sources and insurers. This targeted professional development demonstrates a commitment to excellence and can lead to improved client outcomes and practice sustainability.

How can MFTs advance their careers in Spokane, WA?

Marriage and Family Therapists (MFTs) in Spokane, WA, benefit from a dynamic professional environment that actively supports career advancement through education, specialization, and leadership opportunities. The local mental health sector's projected 7% employment growth from 2022 to 2032 underscores rising demand, creating fertile ground for therapists seeking to progress beyond entry-level positions.

Key avenues for career development include:

Specialization and continuing education facilitated by institutions such as Gonzaga University, which offers graduate programs in counseling and psychology with an emphasis on family therapy. These programs equip MFTs with advanced clinical skills needed for supervisory or clinical director roles.
Professional workshops and seminars organized by the Spokane County Psychological Association, focusing on emerging therapeutic practices and ethical standards essential for maintaining licensure and enhancing professional expertise.
Leadership opportunities within prominent local healthcare providers, including Providence Sacred Heart Medical Center and Frontier Behavioral Health. These organizations encourage interdisciplinary collaboration, research involvement, and program development, all of which contribute to career growth.
Networking and mentorship through the Washington Association for Marriage and Family Therapy (WAMFT), which supports local chapters and events. These platforms enable MFTs to connect with peers, share knowledge, and access resources vital for career planning and licensure renewal.

Additionally, licensed MFTs in Spokane earn an average annual salary near $65,000 as of 2023, with potential for increased compensation through supervisory positions or establishing private practice. The city's affordable cost of living further enhances Spokane’s attractiveness for therapists pursuing advanced career stages.

What are the legal requirements for starting a private practice as an MFT in Spokane, WA?

Starting a private practice as a Marriage and Family Therapist (MFT) in Spokane, WA, requires adherence to specific legal and professional standards to ensure compliance and successful operation. The foundational requirement is obtaining a valid MFT license from the Washington State Department of Health. This license mandates completion of an accredited graduate program in marriage and family therapy, accumulation of at least 3,000 supervised clinical hours, and successful passage of the national MFT examination. Only after fulfilling these prerequisites can a therapist legally offer services independently.

Beyond licensure, therapists must register their private practice as a business with the Washington Secretary of State and secure any necessary local business licenses from Spokane County or the City of Spokane. Additionally, obtaining a National Provider Identifier (NPI) number is essential for insurance billing and reimbursement.

Compliance with confidentiality and record-keeping laws is critical, including adherence to the Health Insurance Portability and Accountability Act (HIPAA), which protects client information. Professional liability insurance is strongly recommended to manage risks associated with clinical practice.

While additional certifications are not legally required, many therapists enhance their qualifications by pursuing credentials such as Certified Clinical Trauma Professional (CCTP) or specialization in therapeutic modalities, which may improve marketability and expertise. Continuing education is mandatory to maintain licensure, with Washington requiring 36 hours of approved coursework every two years.

Therapist private practices are prevalent in Spokane, with approximately 450 licensed MFTs in the county as of 2023. Around 60% operate in private or group practices, indicating strong demand and viability for independent therapy services in the area.

To increase the success of a private MFT practice, consider the following tips:

Ensure full compliance with all licensing and business registration requirements before opening.
Invest in professional liability insurance to protect against potential legal claims.
Maintain rigorous confidentiality and record-keeping standards in line with HIPAA regulations.
Pursue additional certifications and continuing education to enhance clinical skills and appeal to a broader client base.
Develop a clear business plan and marketing strategy to build a sustainable client roster.
Network with other local mental health professionals to establish referral sources and collaborative opportunities.

How is teletherapy influencing client engagement and practice growth for MFTs in Spokane, WA?

Teletherapy has emerged as a pivotal tool for expanding the reach and enhancing operational efficiency of MFT practices in Spokane, WA. By incorporating secure digital platforms, therapists can broaden service access, optimize scheduling flexibility, and maintain client confidentiality while adhering to regulatory standards. This approach not only facilitates improved client engagement but also supports sustainable practice growth in an increasingly competitive market. For professionals seeking further insights into strategic career development within this digital paradigm, learn how to become a therapist in Spokane.

What do marriage and family therapists in Spokane, WA have to say about their careers?

“Completing my marriage and family therapy degree at Eastern Washington University truly grounded me in the unique needs of Spokane’s diverse communities. The program’s emphasis on local cultural competence helped me connect deeply with clients from various backgrounds, enriching both my practice and personal growth. Spokane’s supportive environment and access to natural beauty make it an ideal place to balance the emotional demands of this work. I feel privileged to contribute to healing families while continuously expanding my skills in such a vibrant city.” —Will
“Choosing to pursue my career in Spokane at Gonzaga University was a turning point that allowed me to grow professionally in ways I hadn’t anticipated. The city’s strong network of mental health organizations provides ample opportunities for collaboration and career advancement. I appreciate how Spokane’s community values family and resilience, which aligns perfectly with my passion for helping couples and families rebuild connections. This career path has been both challenging and deeply fulfilling, sparking a lifelong commitment to learning and service.” —Kevin
“As a graduate of Whitworth University, I found Spokane to be a place of both challenge and inspiration. The city’s blend of urban and outdoor lifestyles creates a unique backdrop for therapeutic work that encourages holistic healing. I’ve encountered opportunities to address issues specific to the region, such as rural family dynamics and the impacts of economic shifts, making my role as a therapist especially meaningful. Spokane offers a stable job market and a community eager for compassionate care, which fuels my enthusiasm for this profession every day.” —Sophia

Other Things You Need to Know about Becoming a Marriage and Family Therapist in Spokane, WA

Can I transfer my MFT license from another city to Spokane, WA?

Transferring a Marriage and Family Therapist (MFT) license from another city to Spokane, WA, requires adherence to Washington State’s specific licensure regulations, as licenses are issued at the state level rather than by city. Washington does not provide direct reciprocity with all states, but applicants may obtain licensure by endorsement if their qualifications and supervised experience align with state standards. The process involves submitting an application to the Washington State Department of Health, verifying prior licensure, and successfully passing the Washington Law and Ethics Exam. The Washington Association for Marriage and Family Therapy (WAMFT) serves as a valuable resource for guidance throughout this process.

Which industries in Spokane, WA employ the most MFTs?

In Spokane, WA, marriage and family therapists (MFTs) are primarily employed in healthcare settings such as outpatient mental health clinics, hospitals, and private practices. Educational institutions and social service agencies also offer significant employment opportunities. Over 60% of local MFT positions are within healthcare services. Employers generally require a master’s degree in marriage and family therapy or a related field, along with state licensure and supervised clinical experience. To improve employability, candidates should seek internships at community mental health centers and obtain certification from the Washington State Department of Health. Networking with local professionals and joining state MFT associations can further enhance job prospects.

Do you need a masters to be a therapist in Spokane, WA?

To become a licensed marriage and family therapist (MFT) in Spokane, WA, obtaining a master’s degree is an essential minimum requirement. Candidates must complete a graduate program in marriage and family therapy or a closely related discipline such as counseling psychology or clinical social work from an accredited institution. In Spokane, notable programs include master’s degrees offered by Gonzaga University and Whitworth University, both of which provide specialized curricula aligned with Washington State licensing standards. These programs typically encompass approximately 60 credit hours and prepare students to fulfill required supervised clinical hours and successfully pass the licensing examination.

What is the fastest way to become a licensed therapist in Spokane, WA?

The fastest route to licensure as a Marriage and Family Therapist (MFT) in Spokane, WA involves enrolling in accelerated master’s programs that integrate rigorous coursework with practical experience, typically completed within two to three years. These programs often reduce the standard 60-credit requirement timeframe through intensive semesters and flexible online options. To expedite licensure, candidates should secure internship placements early, prioritizing Washington State Department of Health-approved sites. Accumulating supervised clinical hours concurrently with coursework and actively networking with local agencies and professional organizations can further accelerate the completion of the mandatory 3,000 post-degree supervised hours required for licensure.