Things have moved in Windows Vista 64 bit and sometimes it’s hard to find things you know should be there.
One item that is hard to find is the Mail icon that you need to use to add profiles for Outlook, for example. You’ll find it in the Control Panel but not alongside all the other icons. Instead, click the View 32-bit Control Panel Items View 32-bit Control Panel Items group. There you will find Mail alongside other options like Java, QuickTime and some others.