Inclusion Criteria:  Diagnosis of stage I-III cancer of any type, currently in remission, having completed active primary therapy. Patients on oral adjuvant hormone therapy will still be eligible. Self-reported cancer pain for >= 3 months Regular (at least weekly) opioid use as prescribed by physician for cancer-related pain for at least 6 months beyond completion of their cancer treatment. Average dose of opioid medication >= 20 MME (morphine milligram equivalents) daily. VCUHealth system patient  Exclusion Criteria:  History of opioid use prior to cancer diagnosis Prior history of substance use disorder or currently enrolled in a methadone program. Serious mental illness and/or cognitive concerns that would prevent meaningful engagement in treatment