Tim Cesario has worked in the field of substance use counseling since 1990 as a counselor, clinical supervisor, team leader and program director. He currently serves as the Director of Recovery Services for Cumberland River Behavioral Health, Inc. During his time as director, Tim developed programs to meet the needs of people with substance use disorder in underserved areas of southeastern Kentucky. In 2012, he founded TJC Consulting, LLC, and provides consultation to organizations seeking to develop treatment programs, assist with grant writing and provides trainings throughout Kentucky and several other states.

Tim is the former Chair of IC&RC's Board of Directors, a position he held from May of 2021 until October of 2023. Tim was a member of the Kentucky Board of Alcohol and Drug Counselors from August 2014 to January of 2024 and served as board chair from November of 2018 until leaving the board. He currently serves as chair of the Kentucky Agency for Substance Abuse Policy, a role he has held since August of 2020.